PROGRESSIVE BEGINNINGS LLC NPI 1598886152

NPI Information

NPI: 1598886152
Provider Name: PROGRESSIVE BEGINNINGS, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1125 N 13TH ST
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 803-1617
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PROGRESSIVE BEGINNINGS, LLC is a rehabilitation clinic center in Sheboygan, WI. PROGRESSIVE BEGINNINGS, LLC NPI is 1598886152. The provider is registered as an organization entity type.

The provider's business location address is:

1125 N 13TH ST
SHEBOYGAN, WI
ZIP 53081-281
Phone: (920) 803-1617
Fax: (920) 803-1622

The provider's authorized official is John L Elmendorf .
The authorized official title is Owner and has the following contact phone number (920) 803-1617.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/27/2021.

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	261QR0400X	Clinic/Center	Rehabilitation			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	41813000	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: 5/5/2024

NPI Synchronization or Removal

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