Childrens Medical Group Inc

LBN: Childrens Medical Group Inc
Childrens Medical Group Inc is an health care organization with primary practice located at 9000 W Wisconsin Ave Ms 958, Milwaukee WI 53226-3518. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Childrens Medical Group Inc can be contacted via phone (414) 266-7615, or through Khare, Smriti via phone (414) 266-6404.

Contact Information

Primary practice address
9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-3518
Phone: (414) 266-7615
Fax: (414) 266-6238
Website:
Map and Directions
Authorized official contact:
Name: Khare, Smriti Doctor of Medicine (MD)
Phone: (414) 266-6404

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dental Providers / Dentist 122300000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1790732410
LBN Legal business name Childrens Medical Group Inc
DBA Doing business as
Authorized official Khare, Smriti Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated May 14th, 2013 - about 11 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 1790732410 NPPES
Wisconsin MEDICAID 1790732410

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