Northeast Wisconsin Technical College

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTHEAST WISCONSIN TECHNICAL COLLEGE

Practice address

2740 W Mason St
Green Bay, WI 54303-4966

Phone

(920) 498-5543

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Blumreich

Title

Chief Financial Officer

Phone

(920) 498-5701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1972793818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W MASON ST",
            "address_2": "P.O.BOX 19042",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034966",
            "telephone_number": "920-498-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WISCONSIN TECHNICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "BLUMREICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "920-498-5701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany A Nor, APNP
• Charles Nordell, MD
• Janna Nordeman, MSW, LCSW
• Norhteasr Wisconsin Personal Care
• Northeast Wisconsin Behavioral Health SC
• Northwest Counseling & Guidance Clinic
• Northwoods Family Physical Medicine of Wisconsin, S.C.
• Susan Norton, MS LPC
• Althea L. Noukki, PH.D.
• Heather Marie Novak, CSAC, LPC, ICS

• Dental Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.