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ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C. NPI 1154555373


NPI Information

NPI: 1154555373
Provider Name: ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5395 MICHAELS DR
APPLETON, WI
ZIP 54913
Phone: (920) 739-1214
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ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C. is a durable medical equipment medical supplies in Appleton, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C. NPI is 1154555373. The provider is registered as an organization entity type.

The provider's business location address is:

5395 MICHAELS DR
APPLETON, WI
ZIP 54913-447
Phone: (920) 739-1214
Fax: (920) 739-5855

The provider's authorized official is Amanda Newhouse .
The authorized official title is Patient Accounts and has the following contact phone number (920) 739-1214.

The enumeration date for this NPI number is 5/4/2009 and was last updated on 5/4/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies5068015WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T62184MEDICARE UPINWISCONSIN
276260MEDICARE PINWISCONSIN
3T01260MEDICARE UPINWISCONSIN
4U79450MEDICARE UPINWISCONSIN

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: 4/28/2024

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