Creekside Family Medicine, Llc

LBN: Creekside Family Medicine, Llc
Creekside Family Medicine, Llc is an health care organization with primary practice located at 3608 N Bracken Dr , Appleton WI 54911-8504. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Creekside Family Medicine, Llc can be contacted via phone (330) 466-4431, or through Heiks, Samuel J via phone (330) 466-4431.

Contact Information

Primary practice address
3608 N Bracken Dr Appleton WI 54911-8504
Phone: (330) 466-4431
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heiks, Samuel J Doctor of Medicine (MD)
Phone: (330) 466-4431

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 35097870 Ohio

Profile Details

NPI number 1558610063
LBN Legal business name Creekside Family Medicine, Llc
DBA Doing business as
Authorized official Heiks, Samuel J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2012
Last updated Oct 21st, 2014 - about 10 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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