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GATEWAY TO CHANGE NPI 1952679458


NPI Information

NPI: 1952679458
Provider Name: GATEWAY TO CHANGE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2319 W CAPITOL DR
MILWAUKEE, WI
ZIP 53206
Phone: (414) 442-2033
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GATEWAY TO CHANGE is a clinic center in Milwaukee, 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). GATEWAY TO CHANGE NPI is 1952679458. The provider is registered as an organization entity type.

The provider's business location address is:

2319 W CAPITOL DR
MILWAUKEE, WI
ZIP 53206-919
Phone: (414) 442-2033

The provider's authorized official is Quin O Garrett .
The authorized official title is Clinical Supervisor and has the following contact phone number (414) 442-2033.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 12/12/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center396006491WISCONSINYes

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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