| Pamela Nigl Llc | |
|
165 N Central Ave Ste 110 Richland Center WI 53581-2253 | |
| (608) 649-8181 | |
| (608) 649-8181 |
| Full Name | Pamela Nigl Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 165 N Central Ave, Richland Center, Wisconsin |
| Authorized Official Name and Position | Pamela Nigl (OWNER) |
| Authorized Official Contact | 6086498181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Nigl Llc 165 N Central Ave Ste 110 Richland Center WI 53581-2253 Ph: (608) 649-8181 | Pamela Nigl Llc 165 N Central Ave Ste 110 Richland Center WI 53581-2253 Ph: (608) 649-8181 |
| NPI Number | 1841721909 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841721909 | NPI | - | NPPES |
| 40968800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3437125 (Wisconsin) | Primary |
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