Walbridge Woodworks Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

WALBRIDGE WOODWORKS INC.

Practice address

27943 E Broadway St
Walbridge, OH 43465-9408

Phone

(419) 838-7275

Fax

(419) 838-5235

NPI assigned

May 3, 2012

Last updated

May 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Allen Luettke

Title

President

Phone

(419) 838-7275

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1407114937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27943 E BROADWAY ST",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434659408",
            "telephone_number": "419-838-7275",
            "fax_number": "419-838-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27943 E BROADWAY ST",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434659408",
            "telephone_number": "419-838-7275",
            "fax_number": "419-838-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALBRIDGE WOODWORKS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "LUETTKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-838-7275"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.