Provider Demographics
NPI:1154752954
Name:NOBLE CHOICE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:NOBLE CHOICE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINNOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-318-5300
Mailing Address - Street 1:2410 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-1617
Mailing Address - Country:US
Mailing Address - Phone:608-318-5300
Mailing Address - Fax:608-318-5353
Practice Address - Street 1:2410 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-1617
Practice Address - Country:US
Practice Address - Phone:608-318-5300
Practice Address - Fax:608-318-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4942-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty