Provider Demographics
NPI:1013300060
Name:PAS DE DEUX LLC
Entity Type:Organization
Organization Name:PAS DE DEUX LLC
Other - Org Name:NURSE NEXT DOOR GREEN BAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUGUET
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:920-347-2254
Mailing Address - Street 1:200 ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54301-1604
Mailing Address - Country:US
Mailing Address - Phone:920-347-2254
Mailing Address - Fax:920-347-0338
Practice Address - Street 1:200 ARBOR LN
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-1604
Practice Address - Country:US
Practice Address - Phone:920-347-2254
Practice Address - Fax:920-347-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health