| Specialty | Taxonomy Code | |
|---|---|---|
| * | Dental | 261QD0000X |
| Federally Qualified Health Center (FQHC) | 261QF0400X |
* Indicates primary specialty
| NPI Number | 1427347426 |
| Legal business name LBN |
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS |
| Authorized official | JEANNE WOLFE - (COMPLIANCE OFFICER) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 03/31/2011 |
| Last updated | 01/28/2014 - About 12 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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.
There are currently no reviews for LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS