Ingalls Family Medicine Clinic SC
Organization Active NPI Family Medicine Physician · Webster, WI
NPI 1326198367 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1326198367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 31328 (WI)
- Legal business name
- INGALLS FAMILY MEDICINE CLINIC SC
- Practice address
- 7456 Main St W
Webster, WI 54893-8205 - Phone
- (715) 866-4271
- Fax
- (715) 866-4284
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
Authorized official
- Name
- John W Ingalls, MD
- Title
- Owner
- Phone
- (715) 866-4271
Practitioners 1
-
John W Ingalls, MD
National Provider Directory
Locations
7456 Main St W
Webster, WI 54893
Phone (715) 866-4271
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 31328 | WI | Yes |
Addresses
Primary practice location
7456 Main St W
Webster, WI 54893-8205
Mailing address
7456 Main St W
Webster, WI 54893-8205
Phone (715) 866-4271
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21250000 | Medicaid | WI |
Other providers in Webster, WI
- Jessica J. Hartmann
- Amber Heinz
- Tiffany Marie Herring
- Tin-Cheung Ho
- Katelyn Marie Hughes
- John W Ingalls
- Leah B Jacobs
- Timothy William Johnson
- Gary L Kaefer
- Emily Ann Karl
All providers in Webster, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.