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GJB EEG SERVICES SC NPI 1396315321


NPI Information

NPI: 1396315321
Provider Name: GJB EEG SERVICES, SC
Classification: Specialist/Technologist, Other - 246ZE0500X
Entity Type: Organization

Specialization: EEG

Address:
711 N LYNNDALE DR STE 1A
APPLETON, WI
ZIP 54914
Phone: (920) 560-4525
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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 1/21/2022.


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
1246ZE0500XSpecialist/Technologist, OtherEEGYes

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
1100062778MEDICAIDWISCONSIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.