| Courage Ahead Llc | |
|
811 E Washington Ave Fl 4 Madison WI 53703-3688 | |
| (608) 469-1417 | |
| Not Available |
| Full Name | Courage Ahead Llc |
|---|---|
| Speciality | Social Worker |
| Location | 811 E Washington Ave Fl 4, Madison, Wisconsin |
| Authorized Official Name and Position | John W. White (OWNER) |
| Authorized Official Contact | 6084691417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage Ahead Llc 701 W Olin Ave Madison WI 53715-2139 Ph: (608) 469-1417 | Courage Ahead Llc 811 E Washington Ave Fl 4 Madison WI 53703-3688 Ph: (608) 469-1417 |
| NPI Number | 1427812668 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 3173065208 |
|---|---|
| Medicare Enrollment ID | O20240605000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427812668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | John William White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184051146 PECOS PAC ID: 7618419748 Enrollment ID: I20240605000294 |
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