Organization · NPI-2

Vt-Telemedicine LLC

Case Management · Waukesha, WI

NPI number1396330700
StatusActive
Last updated in NPPESMar 11, 2021

Details

NPI
1396330700
Entity type
Organization (NPI-2)
Legal business name
Vt-Telemedicine LLC
Organization subpart
No
Enumeration date
Mar 8, 2021
Certification date
Mar 11, 2021
Last updated
Mar 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

N19w24400 Riverwood Dr Ste 350-360
Waukesha, WI 53188-1166

Phone 312-344-3498

Mailing address

N19w24400 Riverwood Dr Ste 350-360
Waukesha, WI 53188-1166

Phone 312-344-3498

Authorized official

Meghan Thums
Owner
8473925723

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