Healthcare Provider Details

I. General information

NPI: 1750941811
Provider Name (Legal Business Name): JANA BINKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 PARK AVE
COLUMBUS WI
53925-2402
US

IV. Provider business mailing address

1515 PARK AVE
COLUMBUS WI
53925-2402
US

V. Phone/Fax

Practice location:
  • Phone: 920-623-2200
  • Fax:
Mailing address:
  • Phone: 920-623-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number8576
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number85917-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: