SPINE SOLUTIONS OF SHEBOYGAN LLC – NPI #1891395661
Clinic/Center

SPINE SOLUTIONS OF SHEBOYGAN LLC is an AHC clinic located in SHEBOYGAN, WI. NPPES has assigned the NPI number 1891395661 to SPINE SOLUTIONS OF SHEBOYGAN LLC on October 29, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPINE SOLUTIONS OF SHEBOYGAN LLC below.

NPI Profile for
SPINE SOLUTIONS OF SHEBOYGAN LLC

NPI Number
1891395661
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPINE SOLUTIONS OF SHEBOYGAN LLC
Primary location
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081-3169
Phone: (414) 455-1153 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEREMY SCARLETT
OWNER
Phone: (414) 455-1153
Updated
Certification Date
Oct 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.