National Provider Identifier Database

INNOVATION ALLIANCE IPA LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

INNOVATION ALLIANCE IPA LLC
2105 E ENTERPRISE AVE
SUITE 101
APPLETON, WI54913-7862
Phone: 920-560-1100
Fax: 920-560-1112
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for INNOVATION ALLIANCE IPA LLC

NPI Number 1831547397
Legal business name
LBN
INNOVATION ALLIANCE IPA LLC
Authorized official CURT KUBIAK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/25/2016
Last updated 12/06/2023 - About 2 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.

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