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GJB EEG SERVICES, SC
NPI 1396315321
Specialist/Technologist, Other - EEG in Appleton, WI

Active since July 01, 2021
711 N LYNNDALE DR STE 1A, APPLETON, WI 54914(920) 560-4525(920) 560-6618 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2023, Jul 21, 2022, Jan 21, 2022 and 1 more (4 updates tracked since 2021).

About Gjb Eeg Services, Sc NPPES

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

GJB EEG SERVICES, SC (NPI 1396315321) is a healthcare organization registered as an eeg in Appleton, Wisconsin and active in the NPI registry since July 2021. The organization lists Gloria Jean Bannasch, Owner, as its authorized official.

NPPES Registry Identity

NPI1396315321
Entity TypeOrganization
Primary Taxonomy246ZE0500X
Legal Business NameGJB EEG SERVICES, SC
Location Address711 N LYNNDALE DR STE 1AAppleton, WI 54914-3078
Mailing Address711 N Lynndale Dr Ste 1aAppleton, WI 54914-3078 · (920) 560-4525 · Fax (920) 560-6618
Phone(920) 560-4525
Fax(920) 560-6618
Organization SubpartNo
Authorized OfficialGloria Jean BannaschOwner · (920) 560-4525
Enumeration DateJuly 1, 2021
Last NPPES UpdateApril 7, 20234 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
✔ NPI 1396315321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · EEGTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0500X
711 N LYNNDALE DR STE 1A, Appleton, WI 54914
Open in Google Maps ↗

Other Identifiers 2

Medicaid100062778WI
Other1528091030WI · State Of Wisconsin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMAN KEATON FOX
Counselor (Professional)
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914
Outagamie County (920) 560-4524
KORAH LEE PETRASKO LPC
Counselor (Professional)
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914
Outagamie County (920) 560-4525
MS. DOROTHY A FONSTAD MSE, LCSW, CADC 111
Social Worker
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914
Outagamie County (920) 560-4525

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 Gjb Eeg Services, Sc's NPI number?

The NPI number for Gjb Eeg Services, Sc is 1396315321. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Gjb Eeg Services, Sc located?

Gjb Eeg Services, Sc is located at 711 N Lynndale Dr Ste 1A, Appleton, WI 54914. The listed phone number is (920) 560-4525.

What is Gjb Eeg Services, Sc's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in EEG, with taxonomy code 246ZE0500X.

When was this NPI record last updated?

The NPPES record for Gjb Eeg Services, Sc was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.