Provider Demographics
NPI:1962020792
Name:BROWN WILCOX TRUSTEES, INC.
Entity Type:Organization
Organization Name:BROWN WILCOX TRUSTEES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-361-2605
Mailing Address - Street 1:347 EAST HURON STREET
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:54923
Mailing Address - Country:US
Mailing Address - Phone:920-361-2552
Mailing Address - Fax:920-361-3050
Practice Address - Street 1:347 EAST HURON STREET
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:WI
Practice Address - Zip Code:54923
Practice Address - Country:US
Practice Address - Phone:920-361-2552
Practice Address - Fax:920-361-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health