Organization Active NPI

Pacific International, LTD.

  • Counselor
  • Nekoosa, WI
National Provider Identifier
1639398670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PACIFIC INTERNATIONAL, LTD.
Practice address
555 Birch St
Nekoosa, WI 54457-1317
Phone
(715) 886-4550
Fax
(715) 886-5565
NPI assigned
Apr 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eugene B Draper
Title
President
Phone
(715) 886-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

555 Birch St
Nekoosa, WI 54457-1317

Mailing address

555 Birch St
Nekoosa, WI 54457-1317
Phone (715) 886-4550

National Provider Directory

National Provider Directory

Locations

555 Birch St
Nekoosa, WI 54457
Phone (715) 886-4550

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639398670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BIRCH ST",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544571317",
            "telephone_number": "715-886-4550",
            "fax_number": "715-886-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BIRCH ST",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544571317",
            "telephone_number": "715-886-4550",
            "fax_number": "715-886-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INTERNATIONAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-886-4550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nekoosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.