Wienkes, Nichol

Wienkes, Nichol is an individual health care provider with primary practice located at 571 County Road A , Green Lake WI 54941-8630. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wienkes, Nichol can be contacted via phone (920) 294-4070.

Contact Information

Primary practice address
571 County Road A Green Lake WI 54941-8630
Phone: (920) 294-4070
Fax: (920) 294-4139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16805-130 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 5942-125 Wisconsin

Profile Details

NPI number 1639545023
LBN Legal business name Wienkes, Nichol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Mar 27th, 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 1639545023 NPPES
Wisconsin MEDICAID 100047842

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