1851420145 NPI number — ANGELIC M FICKER RN, RCS

Table of content: ANGELIC M FICKER RN, RCS (NPI 1851420145)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851420145 NPI number — ANGELIC M FICKER RN, RCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FICKER
Provider First Name:
ANGELIC
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, RCS
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:
1851420145
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7969 SUMMIT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELAVAN
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53115-3295
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-728-7747
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1305 CAMELOT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JANESVILLE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53548-1495
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-758-2429
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2007

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: 163W00000X , 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: 39980400 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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