Coast To Coast Wisconsin Llc

LBN: Coast To Coast Wisconsin Llc
Coast To Coast Wisconsin Llc is an health care organization with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54494-4715. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Coast To Coast Wisconsin Llc can be contacted via phone (715) 423-6060, or through Bolton, Mark via phone (614) 855-9961.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54494-4715
Phone: (715) 423-6060
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Mark Doctor of Medicine (MD)
Phone: (614) 855-9961

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1255723375
LBN Legal business name Coast To Coast Wisconsin Llc
DBA Doing business as
Authorized official Bolton, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2015
Last updated Feb 26th, 2015 - about 9 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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