Organization Active NPI

Voga Wigs & Hair Adds, LLC

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
National Provider Identifier
1578834925
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VOGA WIGS & HAIR ADDS, LLC
Practice address
904 S Military Ave
Suite a
Green Bay, WI 54304-2115
Phone
(920) 884-8642
Fax
(920) 884-9447
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Keith Marlin Zimmerman
Title
Owner
Phone
(920) 884-8642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

904 S Military Ave
Suite a
Green Bay, WI 54304-2115

Mailing address

904 S Military Ave
Suite a
Green Bay, WI 54304-2115
Phone (920) 884-8642

National Provider Directory

National Provider Directory

Locations

904 S Military Ave
Ste A
Green Bay, WI 54304
Phone (920) 884-8642

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1578834925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S MILITARY AVE",
            "address_2": "SUITE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042115",
            "telephone_number": "920-884-8642",
            "fax_number": "920-884-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S MILITARY AVE",
            "address_2": "SUITE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042115",
            "telephone_number": "920-884-8642",
            "fax_number": "920-884-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOGA WIGS & HAIR ADDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MARLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-884-8642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.