Endocrine Clinic Of Kenosha , S.C.

LBN: Endocrine Clinic Of Kenosha , S.C.
Endocrine Clinic Of Kenosha , S.C. is an health care organization with primary practice located at 3535 30Th Ave Suite 101B, Kenosha WI 53144-1632. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Endocrine Clinic Of Kenosha , S.C. can be contacted via phone (262) 842-0420, or through Salahuddin, Farah via phone (262) 842-0420.

Contact Information

Primary practice address
3535 30Th Ave Suite 101B Kenosha WI 53144-1632
Phone: (262) 842-0420
Fax: (262) 842-0423
Website:
Map and Directions
Authorized official contact:
Name: Salahuddin, Farah Doctor of Medicine (MD)
Phone: (262) 842-0420

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 45853020 Wisconsin

Profile Details

NPI number 1407039548
LBN Legal business name Endocrine Clinic Of Kenosha , S.C.
DBA Doing business as
Authorized official Salahuddin, Farah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 12th, 2007 - about 17 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 1407039548 NPPES
Wisconsin MEDICAID 34438700

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