PREVEA NPI 1417300518

NPI Information

NPI: 1417300518
Provider Name: PREVEA

Doing Business As: PREVEA SHEBOYGAN

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 52D0921997

Address:
1411 N TAYLOR DR
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 803-1598
Get Directions

PREVEA is a primary care clinic center in Sheboygan, WI. PREVEA NPI is 1417300518. The provider is registered as an organization entity type.
The provider Is Doing Business As Prevea Sheboygan.

The provider's business location address is:

1411 N TAYLOR DR
SHEBOYGAN, WI
ZIP 53081-043
Phone: (920) 803-1598

The provider's authorized official is Ashok Rai .
The authorized official title is President / Ceo and has the following contact phone number (920) 496-4700.

The CLIA number assigned to this NPI record is 52D0921997 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/13/2016 and was last updated on 1/12/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	149367	WISCONSIN	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

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.

« Previous NPI

Next NPI »