| Vitality Me | |
|
300 N Commercial St Suite 2 Neenah WI 54956-2619 | |
| (920) 886-0818 | |
| Not Available |
| Full Name | Vitality Me |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 300 N Commercial St, Neenah, Wisconsin |
| Authorized Official Name and Position | Faith L Keefer (BILLING) |
| Authorized Official Contact | 9208860818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Me 300 N Commercial St Neenah WI 54956-2619 Ph: (920) 886-0818 | Vitality Me 300 N Commercial St Suite 2 Neenah WI 54956-2619 Ph: (920) 886-0818 |
| NPI Number | 1588904270 |
|---|---|
| Provider Enumeration Date | 02/18/2013 |
| Last Update Date | 02/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588904270 | NPI | - | NPPES |
| 42143-020 | Other | WI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 421430202 (Wisconsin) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 42143020 (Wisconsin) | Primary |
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