Provider Demographics
NPI:1205482247
Name:CITY OF BURLINGTON
Entity type:Organization
Organization Name:CITY OF BURLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEQUAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-342-1170
Mailing Address - Street 1:300 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-1435
Mailing Address - Country:US
Mailing Address - Phone:262-342-1170
Mailing Address - Fax:262-767-9025
Practice Address - Street 1:165 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-1445
Practice Address - Country:US
Practice Address - Phone:262-763-7842
Practice Address - Fax:262-767-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI6604945OtherSTATE LICENSE PROVIDER NUMBER