Provider Demographics
NPI:1609211630
Name:THE FISCAL CONCIERGE LLC
Entity Type:Organization
Organization Name:THE FISCAL CONCIERGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:NICKELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-686-8810
Mailing Address - Street 1:980 MARITIME DR
Mailing Address - Street 2:STE 6
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-2962
Mailing Address - Country:US
Mailing Address - Phone:920-686-8810
Mailing Address - Fax:920-682-9774
Practice Address - Street 1:980 MARITIME DR
Practice Address - Street 2:STE 6
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-2962
Practice Address - Country:US
Practice Address - Phone:920-686-8810
Practice Address - Fax:920-682-9774
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FISCON MANAGER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIF039306174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty