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THEDACARE INCORPORATED NPI 1871065037


NPI Information

NPI: 1871065037
Provider Name: THEDACARE, INCORPORATED

Doing Business As: THEDACARE LIFESTYLE MEDICINE

Classification: Health Educator - 174H00000X
Entity Type: Organization

CLIA Number: 52D2205514

Address:
1602 N MEADE ST
APPLETON, WI
ZIP 54911
Phone: (920) 225-1242
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THEDACARE, INCORPORATED is a health educator in Appleton, WI. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. THEDACARE, INCORPORATED NPI is 1871065037. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thedacare Lifestyle Medicine.

The provider's business location address is:

1602 N MEADE ST
APPLETON, WI
ZIP 54911-770
Phone: (920) 225-1242
Fax: (920) 560-5297

The provider's authorized official is William Flett .
The authorized official title is Cfo and has the following contact phone number (920) 454-4013.

The CLIA number assigned to this NPI record is 52D2205514 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2018 and was last updated on 1/2/2024.


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
1174H00000XHealth EducatorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.