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ORTHOPEDIC & SPINE THERAPY OF GREEN BAY SC NPI 1538256987


NPI Information

NPI: 1538256987
Provider Name: ORTHOPEDIC & SPINE THERAPY OF GREEN BAY, SC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
211 N. BROADWAY #105
GREEN BAY, WI
ZIP 54303
Phone: (920) 432-9040
Get Directions

ORTHOPEDIC & SPINE THERAPY OF GREEN BAY, SC is a durable medical equipment medical supplies in Green Bay, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ORTHOPEDIC & SPINE THERAPY OF GREEN BAY, SC NPI is 1538256987. The provider is registered as an organization entity type.

The provider's business location address is:

211 N. BROADWAY #105
GREEN BAY, WI
ZIP 54303-757
Phone: (920) 432-9040
Fax: (920) 432-9053

The provider's authorized official is Paul Steven Barnett .
The authorized official title is Owner/president and has the following contact phone number (920) 257-2000.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/16/2007.


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
1332B00000XDurable Medical Equipment & Medical SuppliesWISCONSINYes

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
10945870001MEDICARE NSCWISCONSIN
241745600MEDICAIDWISCONSIN

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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