THEDACARE INC NPI 1063569002

NPI Information

THEDACARE, INC is an occupational health nurse practitioner in Appleton, WI. THEDACARE, INC NPI is 1063569002. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Thedacare At Work.

The provider's business location address is:

2809 N. PARK DRIVE LANE
APPLETON, WI
ZIP 54911
Phone: (920) 380-4999
Fax: (920) 380-4961

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 52D1008181 - other - occupational hlth clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 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:

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