David A Eggert Md Sc

LBN: David A Eggert Md Sc
David A Eggert Md Sc is an health care organization with primary practice located at 2105 E Enterprise Ave Ste 112, Appleton WI 54913-7862. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. David A Eggert Md Sc can be contacted via phone (920) 731-3111, or through Eggert, David A via phone (920) 731-3111.

Contact Information

Primary practice address
2105 E Enterprise Ave Ste 112 Appleton WI 54913-7862
Phone: (920) 731-3111
Fax: (920) 731-7133
Website:
Map and Directions
Authorized official contact:
Name: Eggert, David A Doctor of Medicine (MD)
Phone: (920) 731-3111

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24506 Wisconsin

Profile Details

NPI number 1770503534
LBN Legal business name David A Eggert Md Sc
DBA Doing business as
Authorized official Eggert, David A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1770503534 NPPES
Wisconsin MEDICAID 30729800

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