1912448283 NPI number — EASTER SEALS SOUTHEAST WISCONSIN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912448283 NPI number — EASTER SEALS SOUTHEAST WISCONSIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTER SEALS SOUTHEAST WISCONSIN
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:
1912448283
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2222 S 114TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST ALLIS
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53227-1031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-963-5902
Provider Business Mailing Address Fax Number:
414-571-5568

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1120 BAXTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUKESHA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53186-3884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-449-4444
Provider Business Practice Location Address Fax Number:
414-571-5568
Provider Enumeration Date:
03/20/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SCHAEFER
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
414-963-5902

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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