National Provider Identifier Database

MENOMINEE INDIAN TRIBE OF WISCONSIN
Family Planning, Non-Surgical

An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.


Contact Information

MENOMINEE INDIAN TRIBE OF WISCONSIN
W3275 WOLF RIVER ROAD
KESHENA, WI54135
Phone: 715-799-3361
Fax: 715-799-3099
Website:
Specialty Taxonomy Code
* Family Planning, Non-Surgical 261QF0050X

* Indicates primary specialty

NPI Profile & details for MENOMINEE INDIAN TRIBE OF WISCONSIN

NPI Number 1164618088
Legal business name
LBN
MENOMINEE INDIAN TRIBE OF WISCONSIN
Authorized official JERRY WAUKAU - (HEALTH ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 09/25/2007
Last updated 03/11/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 93107-030
  • WI Medicaid: 42010500

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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