1881859320 NPI number — ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, SC

Table of content: (NPI 1881859320)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881859320 NPI number — ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, SC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, 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:
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:
1881859320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 N PROVIDENCE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APPLETON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54913-8018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-257-2000
Provider Business Mailing Address Fax Number:
920-257-2004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
228 N 14TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STURGEON BAY
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54235-1318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-746-3180
Provider Business Practice Location Address Fax Number:
920-746-3182
Provider Enumeration Date:
07/24/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BARNETT
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
STEVEN
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
920-257-2000

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 41572200 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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