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JUSTIN C BRONDSTAD AT YOUR SERVICE LLC
NPI 1174178040
Point of Service in Fort Atkinson, WI

Active since August 07, 2019
1215 W CRAMER ST, FORT ATKINSON, WI 53538(608) 451-1708 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Justin C Brondstad At Your Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN C BRONDSTAD AT YOUR SERVICE LLC (NPI 1174178040) is a healthcare organization registered as a point of service in Fort Atkinson, Wisconsin and active in the NPI registry since August 2019. The organization lists Justin C Brondstad, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1174178040
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameJUSTIN C BRONDSTAD AT YOUR SERVICE LLC
Location Address1215 W CRAMER STFort Atkinson, WI 53538-1001
Mailing Address1215 W Cramer StFort Atkinson, WI 53538-1001 · (608) 451-1708
Phone(608) 451-1708
Organization SubpartNo
Authorized OfficialJustin C BrondstadOwner/operator · (608) 451-1708
Enumeration DateAugust 7, 2019
✔ NPI 1174178040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1215 W CRAMER ST, Fort Atkinson, WI 53538
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin C Brondstad At Your Service LLC's NPI number?

The NPI number for Justin C Brondstad At Your Service LLC is 1174178040. It was assigned to this organization in the NPPES registry on August 7, 2019.

Where is Justin C Brondstad At Your Service LLC located?

Justin C Brondstad At Your Service LLC is located at 1215 W Cramer St, Fort Atkinson, WI 53538. The listed phone number is (608) 451-1708.

What is Justin C Brondstad At Your Service LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Justin C Brondstad At Your Service LLC was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.