Provider Demographics
NPI:1891121687
Name:FIRST ASSIST LLC
Entity Type:Organization
Organization Name:FIRST ASSIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA/CST
Authorized Official - Phone:715-581-9861
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:715-848-9015
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:715-848-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000371246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty