1306876636 NPI number — JILL SUZANNE SCHNIEPP PT

Table of content: JILL SUZANNE SCHNIEPP PT (NPI 1306876636)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306876636 NPI number — JILL SUZANNE SCHNIEPP PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNIEPP
Provider First Name:
JILL
Provider Middle Name:
SUZANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1306876636
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5617 COMANCHE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53704-1027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-283-9775
Provider Business Mailing Address Fax Number:
608-846-8840

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6902 PARKSIDE CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DE FOREST
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53532-2560
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-846-8844
Provider Business Practice Location Address Fax Number:
608-846-8840
Provider Enumeration Date:
07/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  12940-24 , 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)