Provider Demographics
NPI:1669199907
Name:VIARO PROFESSIONAL ARTS LTD HEALTH CARE
Entity type:Organization
Organization Name:VIARO PROFESSIONAL ARTS LTD HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-228-8002
Mailing Address - Street 1:333 FRONT ST N STE 700
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-3220
Mailing Address - Country:US
Mailing Address - Phone:608-668-2103
Mailing Address - Fax:608-997-3923
Practice Address - Street 1:230 PINE STREET
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-5460
Practice Address - Country:US
Practice Address - Phone:608-668-2103
Practice Address - Fax:833-997-3923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty