Great Lakes Surgery Llc

LBN: Great Lakes Surgery Llc
Great Lakes Surgery Llc is an health care organization with primary practice located at 6123 Green Bay Rd Ste 101 , Kenosha WI 53142-2927. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Great Lakes Surgery Llc can be contacted via phone (262) 657-0224, or through Bostanche, John L via phone (262) 657-0224.

Contact Information

Primary practice address
6123 Green Bay Rd Ste 101 Kenosha WI 53142-2927
Phone: (262) 657-0224
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bostanche, John L Doctor of Podiatric Medicine (DPM)
Phone: (262) 657-0224

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1629518006
LBN Legal business name Great Lakes Surgery Llc
DBA Doing business as
Authorized official Bostanche, John L Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2017
Last updated Mar 3rd, 2017 - about 7 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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