Ecrk Specialized Treatment Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ECRK SPECIALIZED TREATMENT CENTER, LLC

Practice address

9916 75TH St
Kenosha, WI 53142-7583

Phone

(262) 658-1937

NPI assigned

Jan 15, 2021

Organization subpart

No

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

Authorized official

Name

Inder Paul Singh, MD

Title

Owner

Phone

(262) 658-1937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1508455262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-658-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECRK SPECIALIZED TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "INDER PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-658-1937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ear Nose and Throat Family Clinic of Wisconsin SC
• Easter Seals Southeast Wisconsin
• Jamie Ann Easton, AAS HEALTH WELLNESS
• Zachary D Ebner, CPED
• Heidi E Eckelberg, APNP
• Patricia A. Eder, SA-C
• Edward T Stevens MD SC
• Aila Edwards
• Daelah Edwards
• Kelly Ehnert-Horbinski, APSW

• Ambulatory Surgical Clinic/Center in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.