SPINE SOLUTIONS OF SHEBOYGAN LLC NPI 1891395661

NPI Information

NPI: 1891395661
Provider Name: SPINE SOLUTIONS OF SHEBOYGAN LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 52D2220446

Address:
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI
ZIP 53081
Phone: (414) 455-1153
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SPINE SOLUTIONS OF SHEBOYGAN LLC is an ambulatory surgical clinic center in Sheboygan, WI. SPINE SOLUTIONS OF SHEBOYGAN LLC NPI is 1891395661. The provider is registered as an organization entity type.

The provider's business location address is:

2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI
ZIP 53081-169
Phone: (414) 455-1153

The provider's authorized official is Jeremy Scarlett .
The authorized official title is Owner and has the following contact phone number (414) 455-1153.

The CLIA number assigned to this NPI record is 52D2220446 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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