HOLLEY WILLENBERG TOLAT DPM NPI 1528006863

NPI Information

NPI: 1528006863
Provider Name: HOLLEY WILLENBERG TOLAT, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Address:
W231N1440 CORPORATE CT
WAUKESHA, WI
ZIP 53186
Phone: (262) 896-6000
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Holley Willenberg Tolat, DPM is a primary podiatric medicine podiatrist in Waukesha, WI. Holley Willenberg Tolat, DPM NPI is 1528006863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

W231N1440 CORPORATE CT
WAUKESHA, WI
ZIP 53186-303
Phone: (262) 896-6000

The enumeration date for this NPI number is 6/2/2006 and was last updated on 10/26/2011.

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
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	909	WISCONSIN	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
1	0910	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
2	V08870	MEDICARE UPIN
3	43241100	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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