Frank J Elmudesi Psyd Ltd

LBN: Frank J Elmudesi Psyd Ltd
Frank J Elmudesi Psyd Ltd is an health care organization with primary practice located at 420 Madison St , Lake Geneva WI 53147-1709. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. Frank J Elmudesi Psyd Ltd can be contacted via phone (251) 847-3094, or through Elmudesi Psyd Ltd, Frank J via phone (251) 847-6207.

Contact Information

Primary practice address
420 Madison St Lake Geneva WI 53147-1709
Phone: (251) 847-3094
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elmudesi Psyd Ltd, Frank J PSYD
Phone: (251) 847-6207

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 39128400 Wisconsin

Profile Details

NPI number 1699964817
LBN Legal business name Frank J Elmudesi Psyd Ltd
DBA Doing business as
Authorized official Elmudesi Psyd Ltd, Frank J PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Jan 27th, 2012 - about 13 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 1699964817 NPPES
Wisconsin MEDICAID 39128400

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