Individual
JENNIFER JILL KOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
826 2ND AVE. N., ONALASKA, WI 54650-2208
(608) 781-9555
Mailing address
826 2ND AVE. N., ONALASKA, WI 54650-2208
(608) 781-9555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3537-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350053001
RAILROAD MEDICARE
WI
05
—
38907600
—
WI
01
—
DA4666
RAILROAD MEDICARE GROUP
WI
01
—
WI2648
MEDICARE GROUP PTAN
WI
01
—
WI2648001
MEDICARE PTAN INDIVIDUAL
WI
Enumeration date
09/16/2006
Last updated
05/31/2012
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