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NPI Code Detail

MEDICARE: APPLETON EMERGENCY SERVICES S C

MEDICARE: APPLETON EMERGENCY SERVICES S C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician36870WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK2123OTHERWIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588666853
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPLETON EMERGENCY SERVICES S C
Provider Business Mailing Address
First Line : PO BOX 12249
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32120-2249
Country : US
Telephone Number : 386-274-7800
Fax Number : 386-274-7801
Provider Business Practice Location Address
First Line : 1818 N MEADE ST
Second Line :
City : APPLETON
State : WI
Zip : 54911-3454
Country : US
Telephone Number : 800-968-6866
Fax Number : 616-532-7230
Authorized Official
Title or Position : PRESIDENT
Name : SANJAY KUMAR CHOPRA
Credential : DO
Telephone Number : 920-763-6900
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/15/2021

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Directions to “APPLETON EMERGENCY SERVICES S C ” Practice Location

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