Organization Name: | WAAGE CONSTRUCTION INCORPORATED |
NPI Number: | 1982010997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN A WAAGE (OWNER) |
Mailing Address: | 19449 Rochester St Ne East Bethel |
State: | MN US |
Postal Code: | 550114401 |
Phone Number: | 7634829588 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | BC630196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |