Ear Nose And Throat Family Clinic Of Wisconsin Sc

LBN: Ear Nose And Throat Family Clinic Of Wisconsin Sc
Ear Nose And Throat Family Clinic Of Wisconsin Sc is an health care organization with primary practice located at 6127 Green Bay Rd Suite 100, Kenosha WI 53142-2946. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Ear Nose And Throat Family Clinic Of Wisconsin Sc can be contacted via phone (262) 652-2887, or through Swerdlin, Hilel via phone (262) 652-2887.

Contact Information

Primary practice address
6127 Green Bay Rd Suite 100 Kenosha WI 53142-2946
Fax: (262) 652-0547
Website:
Authorized official contact:
Name: Swerdlin, Hilel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X Wisconsin

Profile Details

NPI number 1578650164
LBN Legal business name Ear Nose And Throat Family Clinic Of Wisconsin Sc
DBA Doing business as
Authorized official Swerdlin, Hilel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated May 10th, 2021 - about 3 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 1578650164 NPPES
Wisconsin MEDICAID 21301700

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