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NEPHROLOGY ASSOCIATES SC NPI 1871679514


NPI Information

NPI: 1871679514
Provider Name: NEPHROLOGY ASSOCIATES SC

Other Name: NEPHROLOGY ASSOCIATES OF WAUKESHA, SC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 52D0896397

Address:
1260 SENTRY DR STE 140
WAUKESHA, WI
ZIP 53186
Phone: (262) 524-1024
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NEPHROLOGY ASSOCIATES SC is a specialist in Waukesha, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEPHROLOGY ASSOCIATES SC NPI is 1871679514. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Nephrology Associates Of Waukesha, Sc.

The provider's business location address is:

1260 SENTRY DR STE 140
WAUKESHA, WI
ZIP 53186-990
Phone: (262) 524-1024
Fax: (262) 524-8767

The provider's authorized official is Jennifer L Christman .
The authorized official title is Administrator and has the following contact phone number (262) 524-1024.

The CLIA number assigned to this NPI record is 52D0896397 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/27/2006 and was last updated on 12/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistWISCONSINYes

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
132807900MEDICAIDWISCONSIN

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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