Charles Grade Md, Llc

LBN: Charles Grade Md, Llc
Charles Grade Md, Llc is an health care organization with primary practice located at 7845 Harwood Ave , Wauwatosa WI 53213-2523. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Charles Grade Md, Llc can be contacted via phone (414) 270-1011, or through Grade, Charles M via phone (414) 270-1011.

Contact Information

Primary practice address
7845 Harwood Ave Wauwatosa WI 53213-2523
Phone: (414) 270-1011
Fax: (414) 270-1031
Website:
Map and Directions
Authorized official contact:
Name: Grade, Charles M Doctor of Medicine (MD)
Phone: (414) 270-1011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 32662 Wisconsin

Profile Details

NPI number 1922267483
LBN Legal business name Charles Grade Md, Llc
DBA Doing business as
Authorized official Grade, Charles M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 24th, 2021 - about 3 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 1922267483 NPPES
Wisconsin MEDICAID 31874500

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