Brotoloc Inc. Outpatient Clinic in Whitewater - Clinical
Brotoloc Inc. Outpatient Clinic - NPI 1184841660
Brotoloc Inc. Outpatient Clinic is a Clinical in Whitewater, Wisconsin. Brotoloc Inc. Outpatient Clinic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brotoloc Inc. Outpatient Clinic is 1184841660. The last update date is 2020-08-22.
Brotoloc Inc. Outpatient Clinic's current location address is 209 S Taft St, Whitewater, Wisconsin. You can contact this provider via phone number 2624730480 and fax number 2624730486. The mailing address for Brotoloc Inc. Outpatient Clinic is 209 S Taft St, Whitewater, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brotoloc Inc. Outpatient Clinic |
|---|---|
| Address | 209 S Taft St, Whitewater, Wisconsin |
| Phone Number | 2624730480 |
| Fax Number | 2624730486 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Johnson S Gary |
| Telephone Number | 2624730480 |
NPI Number Detail
| NPI Number | 1184841660 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 209 S Taft St |
|---|---|
| City | Whitewater |
| State | Wisconsin (WI) |
| Post Code | 531902139 |
| Phone Number | 2624730480 |
| Fax Number | 2624730486 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1115 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42181100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brotoloc Inc. Outpatient Clinic by the Centers for Medicare & Medicaid Services?
The Brotoloc Inc. Outpatient Clinic has been assigned the NPI (National Provider Identifier) 1184841660 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brotoloc Inc. Outpatient Clinic?
The Brotoloc Inc. Outpatient Clinic is physically situated at 209 S Taft St, in the city of Whitewater, state of WI, with the postal code 531902139.
What is Brotoloc Inc. Outpatient Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brotoloc Inc. Outpatient Clinic's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Brotoloc Inc. Outpatient Clinic receive its 1184841660 assignment from the Centers for Medicare & Medicaid Services?
The Brotoloc Inc. Outpatient Clinic was assigned its 1184841660 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date was the information regarding Brotoloc Inc. Outpatient Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brotoloc Inc. Outpatient Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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