GJB EEG SERVICES SC NPI 1396315321

NPI Information

NPI: 1396315321
Provider Name: GJB EEG SERVICES, SC
Classification: Specialist/Technologist, Other - 246ZE0500X
Specialization: EEG
Entity Type: Organization
Address: 711 N LYNNDALE DR STE 1A
APPLETON, WI
ZIP 54914
Phone: (920) 560-4525

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NPI Details

GJB EEG SERVICES, SC is an eeg specialist technologist other in Appleton, WI. GJB EEG SERVICES, SC NPI is 1396315321. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

711 N LYNNDALE DR STE 1A
APPLETON, WI
ZIP 54914-078
Phone: (920) 560-4525
Fax: (920) 560-6618

The provider's authorized official is Gloria Jean Bannasch .
The authorized official title is Owner and has the following contact phone number (920) 560-4525.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 4/7/2023.

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	246ZE0500X	Specialist/Technologist, Other	EEG			Yes

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
1	100062778	MEDICAID	WISCONSIN
2	1528091030	OTHER	WISCONSIN	STATE OF WISCONSIN

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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