1881105658 NPI number — MRS. TRESA SWATZEL BINEK PHARMD

Table of content: MRS. TRESA SWATZEL BINEK PHARMD (NPI 1881105658)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881105658 NPI number — MRS. TRESA SWATZEL BINEK PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BINEK
Provider First Name:
TRESA
Provider Middle Name:
SWATZEL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SWATZEL
Provider Other First Name:
TRESA
Provider Other Middle Name:
RAE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881105658
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Provider Second Line Business Mailing Address:
600 HIGHLAND AVENUE, 1530
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53792
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-263-1290
Provider Business Mailing Address Fax Number:
608-263-9424

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
Provider Second Line Business Practice Location Address:
600 HIGHLAND AVENUE
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53792
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-263-1290
Provider Business Practice Location Address Fax Number:
608-263-9424
Provider Enumeration Date:
10/19/2017

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: 183500000X , with the licence number:  19098-40 , 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)





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