1619519923 NPI number — BABY EXPRESS WELLNESS CENTER

Table of content: (NPI 1619519923)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619519923 NPI number — BABY EXPRESS WELLNESS CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BABY EXPRESS WELLNESS CENTER
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:
6
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:
1619519923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4646 CHICORY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNT PLEASANT
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53403-3969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-649-2057
Provider Business Mailing Address Fax Number:
800-579-1145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2913 DURAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RACINE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53403-3969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-579-1145
Provider Business Practice Location Address Fax Number:
800-579-1159
Provider Enumeration Date:
10/09/2019

Additional Information

Authorized Official

Authorized Official Last Name:
URQUHART
Authorized Official First Name:
SHEILA
Authorized Official Middle Name:
NICOLE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
262-649-2057

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1104169879 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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