Provider Demographics
NPI:1164163499
Name:NOLTE, PAIGE D (DC)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:D
Last Name:NOLTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 BREN RD E UNIT 157
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-0035
Mailing Address - Country:US
Mailing Address - Phone:651-894-3243
Mailing Address - Fax:
Practice Address - Street 1:2110 EAGLE CREEK LN STE 400
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-3209
Practice Address - Country:US
Practice Address - Phone:612-293-9294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor