Roger Patrick Northway in Brookfield - Professional
Roger Patrick Northway - NPI 1053449173
Roger Patrick Northway is a Professional in Brookfield, Wisconsin. Roger Patrick Northway practices all healthcare services and medical treatments related to Professional. The NPI Number for Roger Patrick Northway is 1053449173. The last update date is 2007-07-08.
Roger Patrick Northway's current location address is 13105 W Bluemound Rd, Brookfield, Wisconsin. You can contact this provider via phone number 2626419790 and fax number 2626419791. The mailing address for Roger Patrick Northway is 13105 W Bluemound Rd, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Patrick Northway |
|---|---|
| Address | 13105 W Bluemound Rd, Brookfield, Wisconsin |
| Phone Number | 2626419790 |
| Fax Number | 2626419791 |
| Sole Proprietor | N |
| Credentials | MS LCSW |
NPI Number Detail
| NPI Number | 1053449173 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13105 W Bluemound Rd |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530058046 |
| Phone Number | 2626419790 |
| Fax Number | 2626419791 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 477125 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39197200 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Roger Patrick Northway by the Centers for Medicare & Medicaid Services (CMS)?
The Roger Patrick Northway has been assigned the NPI (National Provider Identifier) 1053449173. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Roger Patrick Northway's facilities are situated?
The facilities of Roger Patrick Northway are physically located at the following address: 13105 W Bluemound Rd, Brookfield, WI, 530058046.
What is Roger Patrick Northway's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Roger Patrick Northway is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
On what date did Roger Patrick Northway receive its 1053449173 assignment from the Centers for Medicare & Medicaid Services?
The Roger Patrick Northway was assigned its 1053449173 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Roger Patrick Northway last refreshed?
The information related to the Roger Patrick Northway, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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