Waage Construction Incorporated

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

BC630196 Issued in MN

Legal business name

WAAGE CONSTRUCTION INCORPORATED

Practice address

19449 Rochester St NE
East Bethel, MN 55011-4401

Phone

(763) 482-9588

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Brian A Waage

Title

Owner

Phone

(763) 482-9588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1982010997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19449 ROCHESTER ST NE",
            "city": "EAST BETHEL",
            "state": "MN",
            "postal_code": "550114401",
            "telephone_number": "763-482-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19449 ROCHESTER ST NE",
            "city": "EAST BETHEL",
            "state": "MN",
            "postal_code": "550114401",
            "telephone_number": "763-482-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAAGE CONSTRUCTION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "WAAGE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-482-9588"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "BC630196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.