Elkhorn Family Clinic
LBN: Elkhorn Family Clinic
Elkhorn Family Clinic is an health care organization with primary practice located at 100 S Washington St , Elkhorn WI 53121-1732. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Managed Care Organizations / Point of Service. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Elkhorn Family Clinic can be contacted via phone (262) 743-1122, or through Muzaffar, Kamal Syed via phone (262) 743-1122.
Contact Information
Primary practice address
100 S Washington St
Elkhorn WI 53121-1732
Phone: (262) 743-1122
Fax: (262) 743-1582
Website:
Authorized official contact:
Name: Muzaffar, Kamal Syed Doctor of Medicine (MD)
Phone: (262) 743-1122
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Managed Care Organizations / Point of Service | 305S00000X | 43819-020 | Wisconsin |
Profile Details
| NPI number | 1164637492 |
|---|---|
| LBN Legal business name | Elkhorn Family Clinic |
| DBA Doing business as | |
| Authorized official | Muzaffar, Kamal Syed Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Apr 10th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164637492 | NPPES |
| Wisconsin | MEDICAID | 34151600 |
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