Acacia Clinic, Inc. in Milwaukee - Clinical
Acacia Clinic, Inc. - NPI 1417988973
Acacia Clinic, Inc. is a Clinical in Milwaukee, Wisconsin. Acacia Clinic, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Acacia Clinic, Inc. is 1417988973. The last update date is 2020-08-22.
Acacia Clinic, Inc.'s current location address is 6040 W Lisbon Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148719111 and fax number 4148719121. The mailing address for Acacia Clinic, Inc. is 6040 W Lisbon Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Acacia Clinic, Inc. |
|---|---|
| Address | 6040 W Lisbon Ave, Milwaukee, Wisconsin |
| Phone Number | 4148719111 |
| Fax Number | 4148719121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kozlowski Lee Deidra |
| Telephone Number | 4148719111 |
NPI Number Detail
| NPI Number | 1417988973 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6040 W Lisbon Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532102116 |
| Phone Number | 4148719111 |
| Fax Number | 4148719121 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1066 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42167800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Acacia Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Acacia Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1417988973 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Acacia Clinic, Inc.'s physical address?
The Acacia Clinic, Inc. is physically located at 6040 W Lisbon Ave, in the city of Milwaukee, WI, with the postal code 532102116.
What is Acacia Clinic, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Acacia Clinic, Inc.'s specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1417988973 assigned to Acacia Clinic, Inc.?
The Acacia Clinic, Inc. was issued its 1417988973 on 2006-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Acacia Clinic, Inc.'s details last updated?
The information pertaining to the Acacia Clinic, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.
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