Central Otologic Ltd

LBN: Central Otologic Ltd
Central Otologic Ltd is an health care organization with primary practice located at 888 Thackeray Trail Suite # 108, Oconomowoc WI 53066. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Central Otologic Ltd can be contacted via phone (262) 567-0505, or through Janowak, Michael Charles via phone (262) 567-0505.

Contact Information

Primary practice address
888 Thackeray Trail Suite # 108 Oconomowoc WI 53066
Phone: (262) 567-0505
Fax: (262) 567-0778
Website:
Map and Directions
Authorized official contact:
Name: Janowak, Michael Charles Doctor of Medicine (MD)
Phone: (262) 567-0505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1295700565
LBN Legal business name Central Otologic Ltd
DBA Doing business as
Authorized official Janowak, Michael Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 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 1295700565 NPPES
Wisconsin Other 551343 DEAN HEALTH PLAN
Wisconsin MEDICAID 32684000 DEAN HEALTH PLAN
Wisconsin Other C01716 DEAN HEALTH PLAN

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