| Early Intervention Services | |
|
1800 Appleton Road Menasha WI 54952 | |
| (920) 731-6601 | |
| (920) 968-6977 |
| Full Name | Early Intervention Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1800 Appleton Road, Menasha, Wisconsin |
| Authorized Official Name and Position | Stephen A White (CFO) |
| Authorized Official Contact | 9207316601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Intervention Services 1800 Appleton Road Menasha WI 54952 Ph: (920) 731-6601 | Early Intervention Services 1800 Appleton Road Menasha WI 54952 Ph: (920) 731-6601 |
| NPI Number | 1649346990 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649346990 | NPI | - | NPPES |
| 41215200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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