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RHEUMATOLOGY AND IMMUNOTHERAPY CENTER NPI 1306016654


NPI Information

NPI: 1306016654
Provider Name: RHEUMATOLOGY AND IMMUNOTHERAPY CENTER
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
7401 104TH AVE
SUITE 110
KENOSHA, WI
ZIP 53142
Phone: (414) 768-0940
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RHEUMATOLOGY AND IMMUNOTHERAPY CENTER is a rheumatology internal medicine in Kenosha, WI. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. RHEUMATOLOGY AND IMMUNOTHERAPY CENTER NPI is 1306016654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7401 104TH AVE
SUITE 110
KENOSHA, WI
ZIP 53142
Phone: (414) 768-0940

The provider's authorized official is Alvin F Wells .
The authorized official title is Director and has the following contact phone number (414) 768-0940.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/3/2008.


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
1207RR0500XInternal MedicineRheumatology46013WISCONSINYes

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
1000001437MEDICARE PINWISCONSIN
2G90894MEDICARE UPINWISCONSIN

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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