Provider Demographics
NPI:1497989677
Name:DENIL, ERIN ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ANN
Last Name:DENIL
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 1:1828 ASPEN LN
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54303-2314
Mailing Address - Country:US
Mailing Address - Phone:920-883-2095
Mailing Address - Fax:
Practice Address - Street 1:1028 9TH ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-3445
Practice Address - Country:US
Practice Address - Phone:920-883-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4464-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor