Capitol Rehabilitation Clinic

LBN: Benjamin S Gozon Md Sc
Capitol Rehabilitation Clinic is an health care organization with primary practice located at 8518 W Capitol Dr , Milwaukee WI 53222-1827. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Benjamin S Gozon Md Sc can be contacted via phone (414) 464-4888, or through Gozon, Benjamin S via phone (414) 464-4888.

Contact Information

Primary practice address
8518 W Capitol Dr Milwaukee WI 53222-1827
Phone: (414) 464-4888
Fax: (414) 464-1850
Website:
Map and Directions
Authorized official contact:
Name: Gozon, Benjamin S Doctor of Medicine (MD)
Phone: (414) 464-4888

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 42976 Wisconsin

Profile Details

NPI number 1346378510
LBN Legal business name Benjamin S Gozon Md Sc
DBA Doing business as Capitol Rehabilitation Clinic
Authorized official Gozon, Benjamin S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Feb 24th, 2011 - about 13 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 1346378510 NPPES
Wisconsin MEDICAID 34058300

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