Digitrace Care Services Inc

LBN: Digitrace Care Services Inc
Digitrace Care Services Inc is an health care organization with primary practice located at 4125 N 124Th St Suite J, Brookfield WI 53005-1837. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Sleep Disorder Diagnostic is the primary health care specialty. Digitrace Care Services Inc can be contacted via phone (262) 790-4500, or through Iberger, Carl R. via phone (978) 536-7400.

Contact Information

Primary practice address
4125 N 124Th St Suite J Brookfield WI 53005-1837
Phone: (262) 790-4500
Fax: (262) 790-1567
Website:
Map and Directions
Authorized official contact:
Name: Iberger, Carl R.
Phone: (978) 536-7400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1295745750
LBN Legal business name Digitrace Care Services Inc
DBA Doing business as
Authorized official Iberger, Carl R.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295745750 NPPES
Wisconsin Other 196050540331 HUMANA
Wisconsin Other 3501696 HUMANA
Wisconsin Other 7618325 HUMANA
Wisconsin Other 208665 HUMANA
Wisconsin MEDICAID 1019876003 HUMANA

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