Brent Alan Wolfswinkel

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

C119279 Issued in IA

Practice address

209 S 2ND St
Cherokee, IA 51012-1841

Phone

(712) 221-9192

Fax

(877) 225-0241

NPI assigned

May 26, 2017

Last updated

May 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1285162875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510120475",
            "telephone_number": "712-221-9192",
            "fax_number": "877-225-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121841",
            "telephone_number": "712-221-9192",
            "fax_number": "877-225-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSWINKEL",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "IA",
            "license": "C119279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Cherokee, IA
• Providers in Cherokee, IA by specialty
• Home Modifications Contractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.