MR. CONRAD CHRISTOPHER BOTZ CST NPI 1184983421

NPI Information

NPI: 1184983421
Provider Name: MR. CONRAD CHRISTOPHER BOTZ, CST
Classification: - 246ZS0400X
Entity Type: Individual
Address:
1357 PHEASANT RUN
NEW RICHMOND, WI
ZIP 54017
Phone: (715) 379-3882
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MR. Conrad Christopher Botz, CST is a healthcare provider in New Richmond, WI. MR. Conrad Christopher Botz, CST NPI is 1184983421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1357 PHEASANT RUN
NEW RICHMOND, WI
ZIP 54017-501
Phone: (715) 379-3882

The enumeration date for this NPI number is 5/7/2012 and was last updated on 5/7/2012.

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
1	246ZS0400X					Yes

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: 5/5/2024

NPI Synchronization or Removal

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