Provider Demographics
NPI:1194269407
Name:CHECKPOINT INDUSTRIES
Entity type:Organization
Organization Name:CHECKPOINT INDUSTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBEATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-840-1169
Mailing Address - Street 1:8330 N TEUTONIA AVE
Mailing Address - Street 2:103
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53209-1550
Mailing Address - Country:US
Mailing Address - Phone:888-315-2354
Mailing Address - Fax:414-939-7157
Practice Address - Street 1:8330 N TEUTONIA AVE
Practice Address - Street 2:103
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53209-1550
Practice Address - Country:US
Practice Address - Phone:888-315-2354
Practice Address - Fax:414-939-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service