Altenberg Clinic

LBN: Barry M Altenberg Md Sc
Altenberg Clinic is an health care organization with primary practice located at 5802 Washington Ave , Racine WI 53406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Barry M Altenberg Md Sc can be contacted via phone (262) 886-5700, or through Altenberg, Barry M via phone (262) 898-7100.

Contact Information

Primary practice address
5802 Washington Ave Racine WI 53406
Fax: (262) 886-4747
Website:
Authorized official contact:
Name: Altenberg, Barry M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X WI15872 Wisconsin

Profile Details

NPI number 1669565347
LBN Legal business name Barry M Altenberg Md Sc
DBA Doing business as Altenberg Clinic
Authorized official Altenberg, Barry M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 25th, 2008 - about 16 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 1669565347 NPPES
Wisconsin MEDICAID 31175300
Wisconsin MEDICAID 32891300

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