Provider Demographics
NPI:1871959007
Name:PUBLIC PARTNERSHIPS LLC
Entity type:Organization
Organization Name:PUBLIC PARTNERSHIPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHERWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-243-8775
Mailing Address - Street 1:8000 AVALON BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2470
Mailing Address - Country:US
Mailing Address - Phone:855-243-8775
Mailing Address - Fax:
Practice Address - Street 1:8000 AVALON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2470
Practice Address - Country:US
Practice Address - Phone:855-243-8775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1124425350OtherNPI
MA1932541729OtherNPI
MA1417262056OtherNPI