Forward Ketamine Of Wisconsin S.C.

LBN: Forward Ketamine Of Wisconsin S.C.
Forward Ketamine Of Wisconsin S.C. is an health care organization with primary practice located at 221 King St , Madison WI 53703-3419. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Forward Ketamine Of Wisconsin S.C. can be contacted via phone (608) 898-4818, or through Vasey, Matthew via phone (608) 898-4818.

Contact Information

Primary practice address
221 King St Madison WI 53703-3419
Phone: (608) 898-4818
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vasey, Matthew
Phone: (608) 898-4818

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1194410142
LBN Legal business name Forward Ketamine Of Wisconsin S.C.
DBA Doing business as
Authorized official Vasey, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2023
Last updated Apr 6th, 2023 - about last year

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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