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5 ELEMENTS HEALTH & WELLNESS LLC NPI 1194009563


NPI Information

NPI: 1194009563
Provider Name: 5 ELEMENTS HEALTH & WELLNESS, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1524 S GREEN BAY RD
BACK IN ACTION/5 ELEMENTS
MOUNT PLEASANT, WI
ZIP 53406
Phone: (262) 884-7580
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5 ELEMENTS HEALTH & WELLNESS, LLC is a clinic center in Mount Pleasant, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). 5 ELEMENTS HEALTH & WELLNESS, LLC NPI is 1194009563. The provider is registered as an organization entity type.

The provider's business location address is:

1524 S GREEN BAY RD
BACK IN ACTION/5 ELEMENTS
MOUNT PLEASANT, WI
ZIP 53406-788
Phone: (262) 884-7580
Fax: (262) 884-7589

The provider's authorized official is Sarah R Beier-abdelmawgoud .
The authorized official title is Owner and has the following contact phone number (414) 418-8187.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.


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
1261Q00000XClinic/Center734-055WISCONSINYes

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

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