Provider Demographics
NPI:1093713158
Name:NAUJOCK, KARL THOMAS NOEL (DC)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:THOMAS NOEL
Last Name:NAUJOCK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6220 S 108TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-2527
Mailing Address - Country:US
Mailing Address - Phone:414-425-7360
Mailing Address - Fax:414-425-7621
Practice Address - Street 1:6220 S 108TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-2527
Practice Address - Country:US
Practice Address - Phone:414-425-7360
Practice Address - Fax:414-425-7621
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38932200Medicaid
WI38932200Medicaid