Affiliated Health Of Wisconsin Ltd.

LBN: Affiliated Health Of Wisconsin Ltd.
Affiliated Health Of Wisconsin Ltd. is an health care organization with primary practice located at 2626 N 76Th St Suite 105, Wauwatosa WI 53213-1137. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Affiliated Health Of Wisconsin Ltd. can be contacted via phone (414) 774-7794, or through Mackman, Jay L via phone (414) 476-9400.

Contact Information

Primary practice address
2626 N 76Th St Suite 105 Wauwatosa WI 53213-1137
Phone: (414) 774-7794
Fax: (414) 607-3971
Website:
Map and Directions
Authorized official contact:
Name: Mackman, Jay L Doctor of Dental Surgery (DDS)
Phone: (414) 476-9400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1063433977
LBN Legal business name Affiliated Health Of Wisconsin Ltd.
DBA Doing business as
Authorized official Mackman, Jay L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Aug 25th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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