1598938938 NPI number — MISS RUTH L KLONOWSKI PTA

Table of content: MISS RUTH L KLONOWSKI PTA (NPI 1598938938)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598938938 NPI number — MISS RUTH L KLONOWSKI PTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLONOWSKI
Provider First Name:
RUTH
Provider Middle Name:
L
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
PTA
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:
1598938938
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
W5410 COUNTY ROAD C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTELLO
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53949-8096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-589-5028
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
W5410 COUNTY ROAD C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTELLO
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53949-8096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-589-5028
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2008

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: 225200000X , with the licence number:  1223-019 , 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: 40465900 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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