National Provider Identifier Database

MANITOWOC SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

MANITOWOC SURGERY CENTER, LLC
1720 MEMORIAL DRIVE
MANITOWOC, WI54220
Phone: 920-683-1250
Fax: 920-683-1279
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for MANITOWOC SURGERY CENTER, LLC

NPI Number 1033140397
Legal business name
LBN
MANITOWOC SURGERY CENTER, LLC
Authorized official KATHLEEN WILLHITE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/05/2006
Last updated 04/26/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 41915800

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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