Bellevue Total Health, Sc

LBN: Bellevue Total Health, Sc
Bellevue Total Health, Sc is an health care organization with primary practice located at 2763 Manitowoc Rd Ste B, Green Bay WI 54311-6633. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Chiropractic Providers / Chiropractor is the primary health care specialty. Bellevue Total Health, Sc can be contacted via phone (920) 468-8288, or through Kenny, Bradley J via phone (920) 468-8288.

Contact Information

Primary practice address
2763 Manitowoc Rd Ste B Green Bay WI 54311-6633
Phone: (920) 468-8288
Fax: (920) 468-9887
Website:
Map and Directions
Authorized official contact:
Name: Kenny, Bradley J Doctor of Chiropractic (DC)
Phone: (920) 468-8288

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2502-012 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 4214-012 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25884-020 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 1221-033 Wisconsin

Profile Details

NPI number 1447203013
LBN Legal business name Bellevue Total Health, Sc
DBA Doing business as
Authorized official Kenny, Bradley J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1447203013 NPPES
Wisconsin MEDICAID 21250700
Wisconsin MEDICAID 39002800

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