Treatment Providers LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TREATMENT PROVIDERS LLC

Practice address

2731 N Packerland Dr Ste a
Green Bay, WI 54303

Phone

(920) 770-5061

Fax

(920) 770-5467

NPI assigned

Mar 26, 2017

Last updated

Dec 19, 2019By 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

Dr. Adeyemi Oludare Fatoki, MD

Title

Medical Director/Partner

Phone

(920) 770-5061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1518498047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 N PACKERLAND DR",
            "address_2": "SUITE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034855",
            "telephone_number": "920-770-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 N PACKERLAND DR STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54303",
            "telephone_number": "920-770-5061",
            "fax_number": "920-770-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-26",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "FATOKI",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_middle_name": "OLUDARE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PARTNER",
        "authorized_official_telephone_number": "920-770-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Tran, MD
• The Tran, MD
• Gena Trast
• Alyssa Ann Trawitzki, MD
• Kathleen R Treager, NP
• Heather Mae Treml
• Judy Treml
• Kathryn Page Treml, APNP
• Michael Allen Tressler, MD
• Hope L Trettin, MS,RD,CDE

• Substance Use Disorder Rehabilitation Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.