Evergreen Surgical, S.C.

LBN: Evergreen Surgical, S.C.
Evergreen Surgical, S.C. is an health care organization with primary practice located at 719 W Hamilton Ave Suite C, Eau Claire WI 54701-6968. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Evergreen Surgical, S.C. can be contacted via phone (715) 832-1044, or through Immerman, Steven C. via phone (715) 832-1044.

Contact Information

Primary practice address
719 W Hamilton Ave Suite C Eau Claire WI 54701-6968
Phone: (715) 832-1044
Fax: (715) 832-0520
Website:
Map and Directions
Authorized official contact:
Name: Immerman, Steven C. Doctor of Medicine (MD)
Phone: (715) 832-1044

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1740238872
LBN Legal business name Evergreen Surgical, S.C.
DBA Doing business as
Authorized official Immerman, Steven C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Jul 23rd, 2021 - 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 1740238872 NPPES
Wisconsin MEDICAID 32865800

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