Provider Demographics
NPI:1144377714
Name:J&J WENDINGER INC
Entity type:Organization
Organization Name:J&J WENDINGER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:WENDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-359-9081
Mailing Address - Street 1:12900 SHAG RD
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-4429
Mailing Address - Country:US
Mailing Address - Phone:507-359-9081
Mailing Address - Fax:507-354-3306
Practice Address - Street 1:12900 SHAG RD
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-4429
Practice Address - Country:US
Practice Address - Phone:507-359-9081
Practice Address - Fax:507-354-3306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN514G3JJOtherBLUE PLUS PROVIDER ID
MN183873OtherUCARE PROVIDER ID
MN183872OtherUCARE STS PROVIDER ID