Psychiatry & Neurology in APPLETON, WI
Last Updated on : Aug 12,2022
BADGER IOM, LLC is a Psychiatry & Neurology in APPLETON, United States with a focus in Clinical Neurophysiology .
1730680539 is NPI number of BADGER IOM, LLC.
BADGER IOM, LLC's primary taxonomy code based on NPI Lookup is 2084N0600X with license number . This taxonomy code refers to Psychiatry & Neurology.
BADGER IOM, LLC current practice location address is 4321 W COLLEGE AVE, APPLETON, WI. BADGER IOM, LLC can be reached out via phone at 210-598-4277 .
You can also correspond with BADGER IOM, LLC through mail at mailing address 1141 N LOOP 1604 E #105-612, SAN ANTONIO, TX, United States. Mailing address contact number is 210-598-4277.
The enumeration date of BADGER IOM, LLC is 27-Feb-2018. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of BADGER IOM, LLC is ROXANNA LAROQUE (Director of Client Experience). ROXANNA LAROQUE can be reached at 2105984277.Basic NPI information of BADGER IOM, LLC (NPI 1730680539) is provided below.
Name | BADGER IOM, LLC |
---|---|
National Provider Id (NPI) | 1730680539 |
Entity Type | Organization |
Practice Address | 4321 W COLLEGE AVE,
SUITE 200
APPLETON, WI, United States |
Practice Telephone | 210-598-4277 |
Practice Fax Number | |
Mailing Address | 1141 N LOOP 1604 E #105-612 ,
SAN ANTONIO, TX, United States |
Mailing Telephone | 210-598-4277 |
Mailing Fax Number | |
Enumeration Date | 27-Feb-2018 |
Last Updated Date | 12-Aug-2022 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 2084N0600X | Psychiatry & Neurology, Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Psychiatry & Neurology, Neurology | ||
N | 204R00000X | Electrodiagnostic Medicine | ||
N | 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1164888525 | 100 E. HIGHLAND DRIVE OPERATING COMPANY, LLC | Skilled Nursing Facility | 1726 N BALLARD RD,
APPLETON, WI, United States |
14-Jan-2016 |
1508525510 | 12 NEUROMONITORING, LLC | Electrodiagnostic Medicine | 4321 W COLLEGE AVE STE 200,
APPLETON, WI, United States |
17-Dec-2021 |
1700242161 | 125 BYRD AVENUE OPERATING COMPANY, LLC | Skilled Nursing Facility | 1726 N BALLARD RD,
APPLETON, WI, United States |
14-Jan-2016 |
1336505791 | 1311 TYLER STREET OPERATING COMPANY, LLC | Skilled Nursing Facility | 1726 N BALLARD RD,
APPLETON, WI, United States |
14-Jan-2016 |
1790141158 | 1840 PRIDDY STREET OPERATING COMPANY, LLC | Skilled Nursing Facility | 1726 N BALLARD RD,
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14-Jan-2016 |
1437515897 | 6001 ALDERSON STREET OPERATING COMPANY, LLC | Skilled Nursing Facility | 1726 N BALLARD RD,
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14-Jan-2016 |
1639535099 | 601 BRIARCLIFF DRIVE OPERATING COMPANY, LLC | Skilled Nursing Facility | 1726 N BALLARD RD,
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14-Jan-2016 |
1376903161 | 725 KNAPP ST OPERATING COMPANY, LLC | Skilled Nursing Facility | 725 KNAPP ST,
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07-Mar-2016 |
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23-May-2019 |
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21-Jun-2014 |
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22-Mar-2012 |
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04-Mar-2019 |
1679074579 | AASCEND CHIROPRACTIC INSTITUTE, S.C. | Chiropractor | 842 N WESTHILL BLVD,
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26-Feb-2018 |
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24-Jan-2007 |
1083847065 | KIMBERLY N ABALAN | Occupational Therapist | 2756 CLOVER ST,
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25-Aug-2009 |
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16-Sep-2013 |
1558723775 | ASHRAF ABBAS | Student in an Organized Health Care Education/Training Program | 3329 N RICHMOND ST,
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26-Mar-2016 |
1942799101 | ABBIE GOODMAN, LLC | Chiropractor | 612 E LONGVIEW DR,
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03-May-2018 |
1962790410 | ABBOTT FAMILY CHIROPRACTIC, S.C. | Chiropractor | 2561 E CALUMET ST,
APPLETON, WI, United States |
19-Jul-2011 |
1942588942 | GREGORY ABBOTT | Chiropractor | 1620 S. LAWE ST,
SUITE 2 APPLETON, WI, United States |
26-Jul-2011 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1730680539 is the NPI number of BADGER IOM, LLC.
Where is BADGER IOM, LLC located?BADGER IOM, LLC is located at 4321 W COLLEGE AVE, APPLETON, WI.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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