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Contact Information

THADDEUS HOLGADO, C.O.
12075 CORPORATE PKWY
SUITE 120
MEQUON, WI53092-2665
 Phone: 844-447-5894
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for THADDEUS HOLGADO · (Male)

NPI Number 1699140814
Status Active
Credentials C.O.
Entity Individual
Enumeration date 12/14/2015
Last updated 12/14/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 213000212
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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