National Provider Identifier Database

BAY AREA NUCLEAR MEDICINE SC
Nuclear Imaging & Therapy


Contact Information

BAY AREA NUCLEAR MEDICINE SC
835 S VAN BUREN ST
GREEN BAY, WI54301-3526
Phone: 920-465-4984
Fax:
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for BAY AREA NUCLEAR MEDICINE SC

NPI Number 1790860351
Legal business name
LBN
BAY AREA NUCLEAR MEDICINE SC
Authorized official ROBERT MEREDITH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 34542

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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