Provider Demographics
NPI:1033452503
Name:LIMBERG, ALLEN (CSFA, CST)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:LIMBERG
Suffix:
Gender:M
Credentials:CSFA, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 PINTAIL LN
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-8110
Mailing Address - Country:US
Mailing Address - Phone:715-581-9861
Mailing Address - Fax:
Practice Address - Street 1:1200 PINTAIL LN
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-8110
Practice Address - Country:US
Practice Address - Phone:715-581-9861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant