# SPINE SOLUTIONS OF WEST BEND LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073113841
- **Authorized official:** JEREMY SCARLETT MD (OWNER)
- **Authorized official phone:** (414) 455-1153

## Contact information

- **Practice address:** 1000 GATEWAY CT STE 200, WEST BEND, WI 53095-8541
- **Practice address phone:** (414) 455-1153
- **Mailing address:** 2124 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3169
- **Mailing address phone:** (414) 455-1153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2020
- **Last updated:** 10/29/2020