Provider Demographics
NPI:1316141237
Name:DR NANCY J SOLIVEN DC MD LLC
Entity type:Organization
Organization Name:DR NANCY J SOLIVEN DC MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOLIVEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MD
Authorized Official - Phone:920-734-6389
Mailing Address - Street 1:105 VALERIE DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-6261
Mailing Address - Country:US
Mailing Address - Phone:920-734-6389
Mailing Address - Fax:920-734-6389
Practice Address - Street 1:105 VALERIE DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-6261
Practice Address - Country:US
Practice Address - Phone:920-734-6389
Practice Address - Fax:920-734-6389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3884-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty