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DODGEVILLE ORTHOPEDICS SC NPI 1891732301


NPI Information

NPI: 1891732301
Provider Name: DODGEVILLE ORTHOPEDICS SC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
833 S IOWA ST
STE 104
DODGEVILLE, WI
ZIP 53533
Phone: (608) 935-3339
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DODGEVILLE ORTHOPEDICS SC is a clinic center in Dodgeville, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DODGEVILLE ORTHOPEDICS SC NPI is 1891732301. The provider is registered as an organization entity type.

The provider's business location address is:

833 S IOWA ST
STE 104
DODGEVILLE, WI
ZIP 53533-900
Phone: (608) 935-3339
Fax: (608) 935-1126

The provider's authorized official is Douglas R Palmer .
The authorized official title is Owner and has the following contact phone number (608) 935-3339.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 10/29/2008.


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 SuppliesNo
2261Q00000XClinic/CenterYes

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
121332700MEDICAIDWISCONSIN
2000027048MEDICARE PINWISCONSIN
30787770001MEDICARE PINWISCONSIN
430748700MEDICAIDWISCONSIN
5545207OTHERWISCONSINDEAN HEALTH INSURANCE
6000013280MEDICARE PINWISCONSIN

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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