Provider Demographics
NPI:1568781797
Name:NOLTE, MARGO BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGO
Middle Name:BETH
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 1:942 N PARKER DR
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-0710
Mailing Address - Country:US
Mailing Address - Phone:608-741-0222
Mailing Address - Fax:608-741-4111
Practice Address - Street 1:942 N PARKER DR
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0710
Practice Address - Country:US
Practice Address - Phone:608-741-0222
Practice Address - Fax:608-741-4111
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor