Imagine A Child'S Capacity in Fitchburg - Specialist/technologist
Imagine A Child'S Capacity - NPI 1770688970
Imagine A Child'S Capacity is a Specialist/technologist in Fitchburg, Wisconsin. Imagine A Child'S Capacity practices all healthcare services and medical treatments related to Specialist/technologist. The NPI Number for Imagine A Child'S Capacity is 1770688970. The last update date is 2012-03-27.
Imagine A Child'S Capacity's current location address is 2875 Fish Hatchery Rd, Fitchburg, Wisconsin. You can contact this provider via phone number 6082046242 and fax number 6082046249. The mailing address for Imagine A Child'S Capacity is 2875 Fish Hatchery Rd, Fitchburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imagine A Child'S Capacity |
|---|---|
| Address | 2875 Fish Hatchery Rd, Fitchburg, Wisconsin |
| Phone Number | 6082046242 |
| Fax Number | 6082046249 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnson David |
| Credentials | CEO. |
| Telephone Number | 6083161127 |
NPI Number Detail
| NPI Number | 1770688970 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2012-03-27 |
Provider Mailing Address Detail
| Address | 2875 Fish Hatchery Rd |
|---|---|
| City | Fitchburg |
| State | Wisconsin (WI) |
| Post Code | 537133114 |
| Phone Number | 6082046242 |
| Fax Number | 6082046249 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist/technologist |
|---|---|
| Taxonomy | 235500000X |
|
Definition: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41225100 | WI | -- |
Post Comment/ Review Below
What is the Imagine A Child'S Capacity's 1770688970?
The Imagine A Child'S Capacity's NPI (National Provider Identifier) Number is 1770688970. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Imagine A Child'S Capacity's facilities are situated?
The facilities of Imagine A Child'S Capacity are physically located at the following address: 2875 Fish Hatchery Rd, Fitchburg, WI, 537133114.
What is Imagine A Child'S Capacity's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Imagine A Child'S Capacity is Specialist/technologist, and the taxonomy classification code that categorizes this area of expertise is 235500000X.
On what date did Imagine A Child'S Capacity receive its 1770688970 assignment from the Centers for Medicare & Medicaid Services?
The Imagine A Child'S Capacity was assigned its 1770688970 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Imagine A Child'S Capacity most recently updated?
The details pertaining to the Imagine A Child'S Capacity, including its address, specialty, and other relevant information, were last refreshed on 2012-03-27.