Family & Sports Orthopaedic Center, Llc in Beaver Dam - Specialist
Family & Sports Orthopaedic Center, Llc - NPI 1467565978
Family & Sports Orthopaedic Center, Llc is a Specialist in Beaver Dam, Wisconsin. Family & Sports Orthopaedic Center, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Family & Sports Orthopaedic Center, Llc is 1467565978. The last update date is 2011-03-02.
Family & Sports Orthopaedic Center, Llc's current location address is 118 W Maple Ave, Beaver Dam, Wisconsin. You can contact this provider via phone number 9203561000 and fax number 9203560719. The mailing address for Family & Sports Orthopaedic Center, Llc is 118 W Maple Ave, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family & Sports Orthopaedic Center, Llc |
|---|---|
| Address | 118 W Maple Ave, Beaver Dam, Wisconsin |
| Phone Number | 9203561000 |
| Fax Number | 9203560719 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Coe A Robert |
| Credentials | MD |
| Telephone Number | 9203561000 |
NPI Number Detail
| NPI Number | 1467565978 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2011-03-02 |
Provider Mailing Address Detail
| Address | 118 W Maple Ave |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539162104 |
| Phone Number | 9203561000 |
| Fax Number | 9203560719 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36330 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11801 | WI | DEAN | |
| 391796912 | WI | WPS | |
| 40349200 | WI | -- | |
| 13843 | WI | DEAN | |
| 15909 | WI | DEAN | |
| 30821700 | WI | -- | |
| 1003837 | WI | PHYSICIANS PLUS | |
| 1034219 | WI | PHYSICIANS PLUS | |
| 15104 | WI | DEAN | |
| 30082300 | WI | -- |
Post Comment/ Review Below
What is the Family & Sports Orthopaedic Center, Llc's 1467565978?
The Family & Sports Orthopaedic Center, Llc's NPI (National Provider Identifier) Number is 1467565978. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Family & Sports Orthopaedic Center, Llc's physical address?
The Family & Sports Orthopaedic Center, Llc is physically located at 118 W Maple Ave, in the city of Beaver Dam, WI, with the postal code 539162104.
What is Family & Sports Orthopaedic Center, Llc's area of expertise and its corresponding taxonomy classification?
The Family & Sports Orthopaedic Center, Llc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Family & Sports Orthopaedic Center, Llc receive its 1467565978 assignment from the Centers for Medicare & Medicaid Services?
The Family & Sports Orthopaedic Center, Llc was assigned its 1467565978 by the Centers for Medicare & Medicaid Services on 2006-08-17.
When was the information related to Family & Sports Orthopaedic Center, Llc most recently updated or refreshed?
The details pertaining to the Family & Sports Orthopaedic Center, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-02.