PRACTICE PARTNERS HEALTHCARE GROUP, S.C.


Address: 1434 Thelen Farm Trl, Houlton, WI 54082-2062
Phone: 9418702120

PRACTICE PARTNERS HEALTHCARE GROUP, S.C. (NPI# 1952846982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952846982
Entity Type Organization
Organization Name PRACTICE PARTNERS HEALTHCARE GROUP, S.C.
Practice Address 1434 Thelen Farm Trl
Houlton
WI 54082-2062
Practice Telephone 9418702120
Practice Fax Number 9413283595
Mailing Telephone 9418702120
Mailing Fax Number 9413283595
Enumeration Date 2016-12-29
Last Update Date 2016-12-29
Authorized Official Name LINCOLN LIKNESS (PRESIDENT)
Authorized Official Telephone 9418702120
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 1434 THELEN FARM TRL
City HOULTON
State WI
Zip Code 54082-2062

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City HOULTON
Zip Code 54082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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