Healthcare Provider Details
I. General information
NPI: 1922109412
Provider Name (Legal Business Name): FIRST CHOICE BUSINESS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
309 FREMONT ST
KIEL WI
53042-1423
US
IV. Provider business mailing address
309 FREMONT ST
KIEL WI
53042-1423
US
V. Phone/Fax
- Phone: 920-894-2640
- Fax: 920-894-2324
- Phone: 920-894-2640
- Fax: 920-894-2324
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
HERZIGER
Title or Position: CEO
Credential: P.T.
Phone: 920-894-2640