Provider Demographics
NPI:1639211964
Name:CHERUBINI ENTERPRISES INC.
Entity Type:Organization
Organization Name:CHERUBINI ENTERPRISES INC.
Other - Org Name:BRODA SEATING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CHERUBINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-238-1000
Mailing Address - Street 1:7426 W DONGES BAY RD
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-4454
Mailing Address - Country:US
Mailing Address - Phone:262-238-1000
Mailing Address - Fax:262-238-1335
Practice Address - Street 1:7426 W DONGES BAY RD
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-4454
Practice Address - Country:US
Practice Address - Phone:262-238-1000
Practice Address - Fax:262-238-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5997300001Medicare NSC