Greater Milwaukee Pain Clinic Ltd

LBN: Greater Milwaukee Pain Clinic Ltd
Greater Milwaukee Pain Clinic Ltd is an health care organization with primary practice located at 10817 W Lincoln Ave , West Allis WI 53227-1127. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Greater Milwaukee Pain Clinic Ltd can be contacted via phone (414) 327-6767, or through Kostusak, Timothy Allan via phone (414) 327-6767.

Contact Information

Primary practice address
10817 W Lincoln Ave West Allis WI 53227-1127
Phone: (414) 327-6767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kostusak, Timothy Allan Doctor of Chiropractic (DC)
Phone: (414) 327-6767

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1366785610
LBN Legal business name Greater Milwaukee Pain Clinic Ltd
DBA Doing business as
Authorized official Kostusak, Timothy Allan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2013
Last updated Apr 4th, 2013 - about 11 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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