Brotoloc

LBN: Brotoloc Inc. Outpatient Clinic
Brotoloc is an health care organization with primary practice located at 209 S Taft St , Whitewater WI 53190-2139. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Brotoloc Inc. Outpatient Clinic can be contacted via phone (262) 473-0480, or through Millard, Susan via phone (262) 473-0480.

Contact Information

Primary practice address
209 S Taft St Whitewater WI 53190-2139
Phone: (262) 473-0480
Fax: (262) 473-0484
Website:
Map and Directions
Authorized official contact:
Name: Millard, Susan Bachelor of Arts (BA)
Phone: (262) 473-0480

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1115 Wisconsin

Profile Details

NPI number 1487796181
LBN Legal business name Brotoloc Inc. Outpatient Clinic
DBA Doing business as Brotoloc
Authorized official Millard, Susan Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1487796181 NPPES
Wisconsin MEDICAID 42181100

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