Provider Demographics
NPI:1285966192
Name:NEMECEK AND WINKLER CHIROPRACTIC, PC
Entity type:Organization
Organization Name:NEMECEK AND WINKLER CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-223-5001
Mailing Address - Street 1:4719 SHELBURNE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-5677
Mailing Address - Country:US
Mailing Address - Phone:701-223-5001
Mailing Address - Fax:701-223-4709
Practice Address - Street 1:4719 SHELBURNE ST STE 7
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-5677
Practice Address - Country:US
Practice Address - Phone:701-223-5001
Practice Address - Fax:701-223-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND4404706OtherMEDICA
NDT66838OtherUPIN
ND728973OtherUNITEDHEALTHCARE
ND11189Medicaid
ND18811OtherBCBS OF NORTH DAKOTA
NDT66838OtherUPIN