1669881785 NPI number — AMANDA KNUDTSON CAPTAIN

Table of content: AMANDA KNUDTSON CAPTAIN (NPI 1669881785)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669881785 NPI number — AMANDA KNUDTSON CAPTAIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAPTAIN
Provider First Name:
AMANDA
Provider Middle Name:
KNUDTSON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KNUDTSON
Provider Other First Name:
AMANDA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1669881785
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1137 N SHERMAN AVE
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:
53704-4234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-421-3239
Provider Business Mailing Address Fax Number:
608-270-2238

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1191 N SHERMAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53704-4234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-421-3239
Provider Business Practice Location Address Fax Number:
608-270-2238
Provider Enumeration Date:
08/04/2014

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: 101YM0800X , with the licence number:  389-228 , 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)