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SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP NPI 1861638900


NPI Information

NPI: 1861638900
Provider Name: SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP

Doing Business As: SPORT & SPINE CLINIC OF MADISON

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
340 S WHITNEY WAY
SUITE 200
MADISON, WI
ZIP 53705
Phone: (608) 238-1312
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SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP is a durable medical equipment medical supplies in Madison, 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. SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP NPI is 1861638900. The provider is registered as an organization entity type.
The provider Is Doing Business As Sport & Spine Clinic Of Madison.

The provider's business location address is:

340 S WHITNEY WAY
SUITE 200
MADISON, WI
ZIP 53705-656
Phone: (608) 238-1312
Fax: (608) 238-1464

The provider's authorized official is Lawrance W Mcafee .
The authorized official title is Cfo and has the following contact phone number (713) 297-7000.

The enumeration date for this NPI number is 12/19/2008 and was last updated on 6/5/2009.


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 SuppliesYes

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
15319850002MEDICARE NSCWISCONSIN

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: 11/14/2023

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