Ageless Wellness Center, Inc

LBN: Ageless Wellness Center, Inc
Ageless Wellness Center, Inc is an health care organization with primary practice located at 2745 W Layton Ave Suite 203, Milwaukee WI 53221-2651. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Ageless Wellness Center, Inc can be contacted via phone (414) 475-5800, or through Sulieman, Abdullattief A via phone (414) 475-5800.

Contact Information

Primary practice address
2745 W Layton Ave Suite 203 Milwaukee WI 53221-2651
Fax: (414) 475-5400
Website:
Authorized official contact:
Name: Sulieman, Abdullattief A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 51008 Wisconsin

Profile Details

NPI number 1245672856
LBN Legal business name Ageless Wellness Center, Inc
DBA Doing business as
Authorized official Sulieman, Abdullattief A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2013
Last updated May 2nd, 2014 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1245672856 NPPES
Wisconsin MEDICAID 1881864197
Wisconsin Other K100110473

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