THE DOC AT YOUR DOORLLC NPI 1104138882

NPI Information

  • NPI: 1104138882
  • Provider Name: THE DOC AT YOUR DOOR,LLC
  • Classification: Clinic/Center - 261QE0002X
  • Specialization: Emergency Care
  • Entity Type: Organization
  • Address: N9554 HIGHLINE RD
    KAUKAUNA, WI
    ZIP 54130
  • Phone: (920) 277-9716

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NPI Details

THE DOC AT YOUR DOOR,LLC is an emergency care clinic center in Kaukauna, WI. THE DOC AT YOUR DOOR,LLC NPI is 1104138882. The provider is registered as an organization entity type.

The provider's business location address is:

N9554 HIGHLINE RD
KAUKAUNA, WI
ZIP 54130-502
Phone: (920) 277-9716
Fax: (920) 766-6802

The provider's authorized official is Patricia M Demery .
The authorized official title is President and has the following contact phone number (920) 277-9716.

The enumeration date for this NPI number is 7/9/2010 and was last updated on 11/29/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0002XClinic/CenterEmergency Care32560WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WI1790OTHERWISCONSINMEDICARE PTAN
2WI1789OTHERWISCONSINMEDICARE PTAN
331750000MEDICAIDWISCONSIN

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: 11/21/2025

NPI Synchronization or Removal

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