NICOLE PATRICIA GEBULTOWICZ (NPI# 1568986024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568986024 |
| Entity Type | Individual |
| Full Name | NICOLE PATRICIA GEBULTOWICZ |
| Credential | DC |
| Practice Address |
1631 W Lincoln Ave Milwaukee WI 53215-2637 |
| Mailing Address |
2070 N Riverboat Rd Apt 213 Milwaukee WI 53212-3533 |
| Practice Telephone | 4146439000 |
| Mailing Telephone | 2245220807 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5246-12 | WI | Chiropractic Providers |
| Street Address |
1631 W LINCOLN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821333550 | Milwaukee Spine and Joint Center | Clinic/Center | 1631 W Lincoln Ave, Milwaukee, WI 53215-2637 | 2012-12-06 |
| 1821582065 | Spine and Joint Institute of Milwaukee | Chiropractor | 1631 W Lincoln Ave, Milwaukee, WI 53215-2637 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962911313 | Zachary Mckee | Chiropractor | 5261 N Port Washington Rd Ste 101, Milwaukee, WI 53217-4903 | 2017-09-28 |
| 1922461037 | Zachary Brocker | Chiropractor | 10855 N Park Place, Suite 9, Milwaukee, WI 53224-3600 | 2016-04-05 |
| 1518323591 | Kronz Chiropractic Group LLC | Chiropractor | 1726 E North Ave, Milwaukee, WI 53202-1037 | 2016-01-06 |
| 1760847198 | Brittany Wolfmeyer Igwike | Chiropractor | 4433 N Oakland Ave Ste A, Milwaukee, WI 53211-1600 | 2015-12-30 |
| 1205224086 | Lor Chiropractic Clinic LLC | Chiropractor | 4701 N 76th St, Suite 201, Milwaukee, WI 53218-4700 | 2015-01-02 |
| 1649679721 | Capitol Chiropractic, Sc | Chiropractor | 6125 W Capitol Dr, Milwaukee, WI 53216-2119 | 2014-08-14 |
| 1306254453 | Lauren Zokan | Chiropractor | 1983 N Summit Ave Unit 20, Milwaukee, WI 53202-1387 | 2014-07-31 |
| 1508207374 | Steven Patrick Jennings | Chiropractor | 114 E Greenfield Ave, Milwaukee, WI 53204-2966 | 2013-07-09 |
| 1952647802 | Chiropractic Company - Third Ward Ltd | Chiropractor | 140 S 1st St Ste 101, Milwaukee, WI 53204-4317 | 2012-12-21 |
| 1487932331 | Joshua Paul Fritz | Chiropractor | 3116 S Kinnickinnic Ave, Milwaukee, WI 53207-2936 | 2011-07-26 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.