Martin Frederick Laakso

Key facts

NPI

1497927800

Entity type

Individual (NPI type 1)

Primary specialty

Home Modifications Contractor 171WH0202X

Practice address

11090 E Lund Rd
Maple, WI 54854-9130

Phone

(715) 363-2770

NPI assigned

Mar 25, 2008

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 25, 2008.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1497927800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11090 E LUND RD",
            "city": "MAPLE",
            "state": "WI",
            "postal_code": "548549130",
            "telephone_number": "715-363-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11090 E LUND RD",
            "city": "MAPLE",
            "state": "WI",
            "postal_code": "548549130",
            "telephone_number": "715-363-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAAKSO",
        "first_name": "MARTIN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple, WI

• Kristin Kathleen Clemmer
• Teresa Austin Fuller
• Jenny Lee
• Maple School District
• Stephanie Rein, OTR/L

All providers in Maple, WI · Home Modifications Contractor in Wisconsin