Provider Demographics
NPI:1679565469
Name:CONSIDINE, NATHAN L (DC)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:L
Last Name:CONSIDINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CLARMAR DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-2675
Mailing Address - Country:US
Mailing Address - Phone:608-318-5929
Mailing Address - Fax:608-318-5922
Practice Address - Street 1:6704 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-2764
Practice Address - Country:US
Practice Address - Phone:608-836-4542
Practice Address - Fax:608-836-9672
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38872800Medicaid
WIU42978Medicare UPIN
WI000735155Medicare ID - Type Unspecified