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.
Address W62n248 Washington Ave, Cedarburg, Wisconsin
Phone Number 2623751116
Fax Number 2623751071
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL D
Authorized Official Name Jaeckle A Therese
Credentials APNP
Telephone Number 2623751116

NPI Number Detail

NPI Number 1720201163
Provider Enumeration Date 2007-04-11
Last Updated Date 2011-04-19

Provider Mailing Address Detail

Address W62n248 Washington Ave
City Cedarburg
State Wisconsin (WI)
Post Code 530122768
Phone Number 2623751116
Fax Number 2623751071

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
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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FAQs about Northshore Clinic & Consultants, Inc.

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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