MEDICARE: WEBIG, INC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1952622003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEBIG, INC

Provider Business Mailing Address
First Line	:	1849 N MARTIN LUTHER KING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3639
Country	:	US
Telephone Number	:	414-803-5631
Fax Number	:

Provider Business Practice Location Address
First Line	:	1849 N MARTIN LUTHER KING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3639
Country	:	US
Telephone Number	:	414-803-5631
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARVIN K ROBINSON
Credential	:
Telephone Number	:	414-803-5631

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	06/11/2010

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Directions to “WEBIG, INC ” Practice Location

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