Healthcare Provider Details

I. General information

NPI: 1801724471
Provider Name (Legal Business Name): MEDICAL BILLING ENTERPRISE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 ELLIS POTTER CT STE 103
MADISON WI
53711-2478
US

IV. Provider business mailing address

14 ELLIS POTTER CT STE 103
MADISON WI
53711-2478
US

V. Phone/Fax

Practice location:
  • Phone: 612-308-4352
  • Fax: 844-598-2995
Mailing address:
  • Phone: 612-308-4352
  • Fax: 844-598-2995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: PA LOR
Title or Position: CEO
Credential: SERVICE PROVIDER
Phone: 612-308-4352