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1275247389 NPI number — STS OF GREEN BAY INC

NPI Number: 1275247389
Health Care Provider/Practitioner: STS OF GREEN BAY INC

Information about “1275247389” NPI (STS OF GREEN BAY INC) exists in 1275247389 in HTML format HTML  |  1275247389 in plain Text format TXT  |  1275247389 in PDF (Portable Document Format) PDF  |  1275247389 in an XML format XML  formats.

NPI Number : 1275247389 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275247389",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "STS OF GREEN BAY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3311 PACKERLAND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DE PERE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54115-9540",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-366-5402",
    "MailingAddressFaxNumber": "920-347-1974",
    "FirstLinePracticeLocationAddress": "3311 PACKERLAND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DE PERE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54115-9540",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-366-5402",
    "PracticeLocationAddressFaxNumber": "920-429-1974",
    "EnumerationDate": "01/12/2023",
    "LastUpdateDate": "01/12/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCHROEDER",
    "AuthorizedOfficialFirstName": "STEVE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "920-362-1921",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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