National Provider Identifier Database

CHILDRENS HOSPITAL OF WISCONSIN INC
Children


Contact Information

CHILDREN'S HOSPITAL OF WISCONSIN, INC.
6308 8TH AVE
SIXTH FLOOR
KENOSHA, WI53143-5031
Phone: 262-656-2261
Fax: 262-653-5751
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S HOSPITAL OF WISCONSIN, INC.

NPI Number 1962507228
Legal business name
LBN
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Authorized official WELDON GAGE - (CFO/TREASURER)
Entity Organization
Organization subpart No
Enumeration date 09/13/2006
Last updated 04/25/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 1003
  • WI Medicaid: 11023000

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.

Reviews for CHILDREN'S HOSPITAL OF WISCONSIN, INC.

There are currently no reviews for CHILDREN'S HOSPITAL OF WISCONSIN, INC.


NPIdb - Home
v2.201