1922637107 NPI number — TORHORST FOOT AND ANKLE CLINIC, SC

Table of content: (NPI 1922637107)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922637107 NPI number — TORHORST FOOT AND ANKLE CLINIC, SC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TORHORST FOOT AND ANKLE CLINIC, SC
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:
TORHORST FOOT AND ANKLE CLINIC, S.C.
Provider Other Organization Name Type Code:
4
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:
1922637107
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2220 TIMBERVIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLOVER
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54467-9200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
715-498-1051
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2823 POST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEVENS POINT
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54481-6416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-498-6266
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2020

Additional Information

Authorized Official

Authorized Official Last Name:
TORHORST
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PODIATRIST
Authorized Official Telephone Number:
715-498-6266

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7696990002 . This is a "MEDICARE DME" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".




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