Lakeshore Cap, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

LAKESHORE CAP, INC.

Practice address

702 State St
Manitowoc, WI 54220-4034

Phone

(920) 682-3737

Fax

(920) 686-8700

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Vette Huck

Title

Ceo

Phone

(920) 686-8705

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Family Resources Other name

Locations

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1396183372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 STATE ST",
            "address_2": "PO BOX 2315",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204034",
            "telephone_number": "920-682-3737",
            "fax_number": "920-686-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 STATE ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204034",
            "telephone_number": "920-682-3737",
            "fax_number": "920-686-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE CAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-686-8705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Family Resources",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Public Health or Welfare Agency in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.