Provider Demographics
NPI:1154026441
Name:CAPSTICK COMPANIES
Entity type:Organization
Organization Name:CAPSTICK COMPANIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPSTICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-775-5806
Mailing Address - Street 1:220 COUNTY ROAD 1 E
Mailing Address - Street 2:
Mailing Address - City:DUNDAS
Mailing Address - State:MN
Mailing Address - Zip Code:55019-4113
Mailing Address - Country:US
Mailing Address - Phone:507-334-6145
Mailing Address - Fax:507-332-0787
Practice Address - Street 1:220 COUNTY ROAD 1 E
Practice Address - Street 2:
Practice Address - City:DUNDAS
Practice Address - State:MN
Practice Address - Zip Code:55019-4113
Practice Address - Country:US
Practice Address - Phone:507-334-6145
Practice Address - Fax:507-332-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty