Provider Demographics
NPI:1366525453
Name:KOHNLE INVESTMENTS LLC
Entity type:Organization
Organization Name:KOHNLE INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOHNLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-863-5220
Mailing Address - Street 1:605 COUNTY RD R
Mailing Address - Street 2:
Mailing Address - City:DENMARK
Mailing Address - State:WI
Mailing Address - Zip Code:54208
Mailing Address - Country:US
Mailing Address - Phone:920-863-5220
Mailing Address - Fax:920-863-3908
Practice Address - Street 1:605 COUNTY RD R
Practice Address - Street 2:
Practice Address - City:DENMARK
Practice Address - State:WI
Practice Address - Zip Code:54208
Practice Address - Country:US
Practice Address - Phone:920-863-5220
Practice Address - Fax:920-863-3908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIWI2597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3884800Medicaid
T98255Medicare UPIN