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WILSON WELLNESS GROUP NPI 1649218215


NPI Information

NPI: 1649218215
Provider Name: WILSON WELLNESS GROUP

Doing Business As: BELLA HOME MEDICAL AND REHAB

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4625 SHERIDAN RD
KENOSHA, WI
ZIP 53140
Phone: (262) 657-3333
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WILSON WELLNESS GROUP is a durable medical equipment medical supplies in Kenosha, 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. WILSON WELLNESS GROUP NPI is 1649218215. The provider is registered as an organization entity type.
The provider Is Doing Business As Bella Home Medical And Rehab.

The provider's business location address is:

4625 SHERIDAN RD
KENOSHA, WI
ZIP 53140-323
Phone: (262) 657-3333
Fax: (262) 657-6201

The provider's authorized official is Lawrence E Balkin .
The authorized official title is President Ceo and has the following contact phone number (847) 217-1976.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 6/23/2008.


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 Supplies5539340001WISCONSINYes

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
15539340001MEDICARE NSCWISCONSIN
2417553300MEDICAIDWISCONSIN

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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