Healthcare Provider Details

I. General information

NPI: 1477858199
Provider Name (Legal Business Name): CERULEAN INVESTMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 01/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 GERMAIN STREET
SOMERSET WI
54025-9043
US

IV. Provider business mailing address

PO BOX 114
SOMERSET WI
54025-0114
US

V. Phone/Fax

Practice location:
  • Phone: 715-417-2480
  • Fax:
Mailing address:
  • Phone: 715-417-2480
  • Fax: 715-247-4615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD FORREST
Title or Position: PRESIDENT
Credential:
Phone: 715-417-2480