1124469804 NPI number — ANNETTE E MADISON

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124469804 NPI number — ANNETTE E MADISON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANNETTE E MADISON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ANNETTE E MADISON MSW LCSW LLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124469804
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 90108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILWAUKEE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53209-0108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-354-1030
Provider Business Mailing Address Fax Number:
414-354-7584

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6051 W BROWN DEER RD
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
BROWN DEER
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53223-2263
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-354-1030
Provider Business Practice Location Address Fax Number:
414-354-7584
Provider Enumeration Date:
07/10/2013

Additional Information

Authorized Official

Authorized Official Last Name:
MADISON
Authorized Official First Name:
ANNETTE
Authorized Official Middle Name:
ELISA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
414-354-1030

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  7034-123 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 41003900 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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