Provider Demographics
NPI:1477900710
Name:BJOSC, LLC
Entity Type:Organization
Organization Name:BJOSC, LLC
Other - Org Name:BJOSC AT PLOVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT ACCESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:JANIKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-393-0345
Mailing Address - Street 1:1767 PARK AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:PLOVER
Mailing Address - State:WI
Mailing Address - Zip Code:54467-4301
Mailing Address - Country:US
Mailing Address - Phone:715-344-1260
Mailing Address - Fax:715-393-0390
Practice Address - Street 1:1767 PARK AV
Practice Address - Street 2:
Practice Address - City:PLOVER
Practice Address - State:WI
Practice Address - Zip Code:54467
Practice Address - Country:US
Practice Address - Phone:715-359-6442
Practice Address - Fax:715-393-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical