1457165573 NPI number — JOHN JOSEPH COMPANIES

Table of content: DANIELLE LUPCKE MS, OTRL (NPI 1235631862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457165573 NPI number — JOHN JOSEPH COMPANIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN JOSEPH COMPANIES
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:
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:
1457165573
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5634
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DE PERE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54115-5634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2767 SAINT PATS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUAMICO
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54313-8142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-619-2982
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HEIM
Authorized Official First Name:
BRENT
Authorized Official Middle Name:
Authorized Official Title or Position:
OPERATIONS MANAGER
Authorized Official Telephone Number:
920-619-2982

Provider Taxonomy Codes

  • Taxonomy code: 171WH0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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