Healthcare Provider Details

I. General information

NPI: 1003574088
Provider Name (Legal Business Name): 4LESS MEDICAL TRAINING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4163 N 72ND ST
MILWAUKEE WI
53216-1035
US

IV. Provider business mailing address

10400 W. SILVER SPRING DRIVE SUITE 250 PMB 1081
MILWAUKEE WI
53225
US

V. Phone/Fax

Practice location:
  • Phone: 414-899-3638
  • Fax: 414-585-9272
Mailing address:
  • Phone: 414-395-0058
  • Fax: 414-585-9272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LARUTHIEA JONES
Title or Position: PRESIDENT
Credential: APNP
Phone: 414-899-3638