1215966908 NPI number — AMY BETH FLOCK PTA

Table of content: AMY BETH FLOCK PTA (NPI 1215966908)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215966908 NPI number — AMY BETH FLOCK PTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLOCK
Provider First Name:
AMY
Provider Middle Name:
BETH
Provider Name Prefix Text:
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:
1215966908
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29632 CLOVER LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERFORD
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53185-5004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-640-0335
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
955 MAIN ST STE CD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUKWONAGO
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53149-1752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-662-9760
Provider Business Practice Location Address Fax Number:
262-662-9761
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: 225200000X , with the licence number:  348-019 , 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: 40437000 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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