Premise Health Of Connecticut Medical, P.C. in South Milwaukee - Contractor
Premise Health Of Connecticut Medical, P.C. - NPI 1326202367
Premise Health Of Connecticut Medical, P.C. is a Contractor in South Milwaukee, Wisconsin. Premise Health Of Connecticut Medical, P.C. practices all healthcare services and medical treatments related to Contractor. The NPI Number for Premise Health Of Connecticut Medical, P.C. is 1326202367. The last update date is 2022-08-15.
Premise Health Of Connecticut Medical, P.C.'s current location address is 1100 Milwaukee Ave, South Milwaukee, Wisconsin. You can contact this provider via phone number 4147684444 and fax number 4147684782. The mailing address for Premise Health Of Connecticut Medical, P.C. is 1100 Milwaukee Ave, South Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premise Health Of Connecticut Medical, P.C. |
|---|---|
| Address | 1100 Milwaukee Ave, South Milwaukee, Wisconsin |
| Phone Number | 4147684444 |
| Fax Number | 4147684782 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leizman Jon |
| Telephone Number | 2164799063 |
NPI Number Detail
| NPI Number | 1326202367 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2022-08-15 |
Provider Mailing Address Detail
| Address | 1100 Milwaukee Ave |
|---|---|
| City | South Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 531722013 |
| Phone Number | 4147684444 |
| Fax Number | 4147684782 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique identification code assigned to Premise Health Of Connecticut Medical, P.C. by the Centers for Medicare & Medicaid Services?
The Premise Health Of Connecticut Medical, P.C. has been issued the NPI (National Provider Identifier) 1326202367. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Premise Health Of Connecticut Medical, P.C.'s physical address?
The Premise Health Of Connecticut Medical, P.C. is physically located at 1100 Milwaukee Ave, in the city of South Milwaukee, WI, with the postal code 531722013.
What is Premise Health Of Connecticut Medical, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Premise Health Of Connecticut Medical, P.C.'s area of specialization is Contractor, and the corresponding taxonomy code that categorizes this field of practice is 171W00000X.
On what date did the Premise Health Of Connecticut Medical, P.C. receive its 1326202367 assignment from the Centers for Medicare & Medicaid Services?
The Premise Health Of Connecticut Medical, P.C. was assigned its 1326202367 by the Centers for Medicare & Medicaid Services on 2008-07-17.
When was the information regarding Premise Health Of Connecticut Medical, P.C. most recently updated?
The details pertaining to the Premise Health Of Connecticut Medical, P.C., including its address, specialty, and other relevant information, were last refreshed on 2022-08-15.
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