Provider Demographics
NPI:1710536321
Name:BONE & JOINT CLINIC S.C.
Entity Type:Organization
Organization Name:BONE & JOINT CLINIC S.C.
Other - Org Name:BONE & JOINT CLINIC S.C. @ MEDFORD
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:715-359-6442
Mailing Address - Street 1:724 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54451-2001
Mailing Address - Country:US
Mailing Address - Phone:715-359-6442
Mailing Address - Fax:715-393-0390
Practice Address - Street 1:724 S. 8TH ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:WI
Practice Address - Zip Code:54451
Practice Address - Country:US
Practice Address - Phone:715-748-2663
Practice Address - Fax:715-393-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies