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Contact Information

NICHOLAS AGEN
17585 GOLF PKWY
BROOKFIELD, WI53045-2948
 Phone: 262-899-7158
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for NICHOLAS AGEN · (Male)

NPI # 1013669746
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2022
Last updated 01/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5715-12
  • WI Medicaid 1295378875
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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