Northshore Clinic & Consultants, Inc. in Cedarburg - Community/behavioral Health
Northshore Clinic & Consultants, Inc. - NPI 1720201163
Northshore Clinic & Consultants, Inc. is a Community/behavioral Health in Cedarburg, Wisconsin. Northshore Clinic & Consultants, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Northshore Clinic & Consultants, Inc. is 1720201163. The last update date is 2011-04-19.
Northshore Clinic & Consultants, Inc.'s current location address is W62n248 Washington Ave, Cedarburg, Wisconsin. You can contact this provider via phone number 2623751116 and fax number 2623751071. The mailing address for Northshore Clinic & Consultants, Inc. is W62n248 Washington Ave, Cedarburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northshore Clinic & Consultants, Inc. |
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Address | W62n248 Washington Ave, Cedarburg, Wisconsin |
Phone Number | 2623751116 |
Fax Number | 2623751071 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINICAL D |
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Authorized Official Name | Jaeckle A Therese |
Credentials | APNP |
Telephone Number | 2623751116 |
NPI Number Detail
NPI Number | 1720201163 |
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Provider Enumeration Date | 2007-04-11 |
Last Updated Date | 2011-04-19 |
Provider Mailing Address Detail
Address | W62n248 Washington Ave |
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City | Cedarburg |
State | Wisconsin (WI) |
Post Code | 530122768 |
Phone Number | 2623751116 |
Fax Number | 2623751071 |
Provider's Primary Taxonomy Detail
Speciality | Community/behavioral Health |
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Taxonomy | 251S00000X |
Licence No | 1695 |
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Northshore Clinic & Consultants, Inc.'s 1720201163?
The Northshore Clinic & Consultants, Inc.'s NPI (National Provider Identifier) Number is 1720201163. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Northshore Clinic & Consultants, Inc. is physically located?
The Northshore Clinic & Consultants, Inc. is physically situated at the following address: W62N248 Washington Ave, Cedarburg, WI, 530122768.
What is Northshore Clinic & Consultants, Inc.'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 Northshore Clinic & Consultants, Inc. is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did Northshore Clinic & Consultants, Inc. receive its 1720201163 assignment from the Centers for Medicare & Medicaid Services?
The Northshore Clinic & Consultants, Inc. was assigned its 1720201163 on 2007-04-11, 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 Northshore Clinic & Consultants, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northshore Clinic & Consultants, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-19.
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