BROADSTEP-WISCONSIN, INC.; NPI #1316513351

Contact Information

BROADSTEP-WISCONSIN, INC.

557 MILFORD ST
WATERTOWN, WI 53094-6033

Phone: 920-390-4116
Fax: 920-390-4117
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Assisted Living, Behavioral Disturbances	3104A0630X

Indicates primary specialty

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NPI Profile & details for BROADSTEP-WISCONSIN, INC.

NPI Number	`1316513351`
LBN Legal business name	BROADSTEP-WISCONSIN, INC.
Authorized official	JULIANNE YOPPS - (EXECUTIVE ASSISTANT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/01/2021
Last updated	08/10/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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