Jay Timothy Brogelman in Hartford - Occupational Therapy Assistant
Jay Timothy Brogelman - NPI 1699968016
Jay Timothy Brogelman is a Occupational Therapy Assistant in Hartford, Wisconsin. Jay Timothy Brogelman practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Jay Timothy Brogelman is 1699968016. The last update date is 2007-08-20.
Jay Timothy Brogelman's current location address is 3468 Clifford Dr, Hartford, Wisconsin. You can contact this provider via phone number 7158280904. The mailing address for Jay Timothy Brogelman is 3468 Clifford Dr, Hartford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Timothy Brogelman |
|---|---|
| Address | 3468 Clifford Dr, Hartford, Wisconsin |
| Phone Number | 7158280904 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1699968016 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 3468 Clifford Dr |
|---|---|
| City | Hartford |
| State | Wisconsin (WI) |
| Post Code | 530279224 |
| Phone Number | 7158280904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 2047-027 |
|
Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41049200 | WI | -- |
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What is the unique 10-digit identifier code issued to Jay Timothy Brogelman by the Centers for Medicare & Medicaid Services?
The Jay Timothy Brogelman has been assigned the NPI (National Provider Identifier) 1699968016 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jay Timothy Brogelman located?
The Jay Timothy Brogelman is located at 3468 Clifford Dr, Hartford, WI 530279224.
What is the area of specialization for Jay Timothy Brogelman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jay Timothy Brogelman is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 224Z00000X.
On what date did Jay Timothy Brogelman receive its 1699968016 assignment from the Centers for Medicare & Medicaid Services?
The Jay Timothy Brogelman was assigned its 1699968016 on 2007-08-20, 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 related to Jay Timothy Brogelman most recently updated or revised?
The information pertaining to Jay Timothy Brogelman, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-20.
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