Quinones, Nikolo C

Quinones, Nikolo C is an individual health care provider with primary practice located at 1300 South Drive , Winnebago WI 54985-0009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Psychiatric Hospital. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Quinones, Nikolo C can be contacted via phone (920) 235-4910.

Contact Information

Primary practice address
1300 South Drive Winnebago WI 54985-0009
Fax: (920) 237-2043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39923 Wisconsin
Hospitals / Psychiatric Hospital 283Q00000X 39923 Wisconsin

Profile Details

NPI number 1750498077
LBN Legal business name Quinones, Nikolo C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750498077 NPPES
Wisconsin Other 711290189 MEDICARE PTAN
Wisconsin Other 450030793 MEDICARE PTAN
Wisconsin MEDICAID 32449800 MEDICARE PTAN

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