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NPI Code Detail

MEDICARE: SCHOOL DISTRICT OF JANESVILLE

MEDICARE: SCHOOL DISTRICT OF JANESVILLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist1689811432WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245541655
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHOOL DISTRICT OF JANESVILLE
Provider Business Mailing Address
First Line : 527 S FRANKLIN ST
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-4779
Country : US
Telephone Number : 608-743-5097
Fax Number : 608-743-5068
Provider Business Practice Location Address
First Line : 527 S FRANKLIN ST
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-4779
Country : US
Telephone Number : 608-743-5097
Fax Number : 608-743-5068
Authorized Official
Title or Position : MANAGER OF HEALTH AND SAFETY
Name : MR. MATHEW L HAEGER
Credential : RN
Telephone Number : 608-743-5097
Provider Enumeration Date : 06/30/2010
Last Update Date : 06/30/2010

Similar Medicare Providers

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Practice Location Address:
527 S FRANKLIN ST
JANESVILLE, WI
53548-4779
Practice Phone: 608-743-5000
Practice Fax:
1265364327 — AMANDA MARX
Practice Location Address:
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53548-4779
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Practice Fax:
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Practice Location Address:
527 S FRANKLIN ST
JANESVILLE, WI
53548-4779
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Practice Fax:
1962691246 — SCHOOL DISTRICT OF JANESVILLE
Practice Location Address:
527 S FRANKLIN ST
JANESVILLE, WI
53548-4779
Practice Phone: 608-743-5097
Practice Fax: 608-743-5068
1164603304 — SCHOOL DISTRICT OF JANESVILLE
Practice Location Address:
527 S FRANKLIN ST
JANESVILLE, WI
53548-4779
Practice Phone: 608-743-5097
Practice Fax: 608-743-5068
1477735447 — SCHOOL DISTRICT OF JANESVILLE
Practice Location Address:
527 S FRANKLIN ST
JANESVILLE, WI
53548-4779
Practice Phone: 608-743-5097
Practice Fax: 608-743-5068

Directions to “SCHOOL DISTRICT OF JANESVILLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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