Green Bay Cardiothoracic & Vascular, Llc
LBN: Green Bay Cardiothoracic & Vascular, Llc
Green Bay Cardiothoracic & Vascular, Llc is an health care organization with primary practice located at 1711 S Stephenson Ave , Iron Mountain MI 49801-3639. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Green Bay Cardiothoracic & Vascular, Llc can be contacted via phone (920) 433-9621, or through Holewinski, Mary Jo via phone (920) 433-9621.
Contact Information
Primary practice address
1711 S Stephenson Ave
Iron Mountain MI 49801-3639
Phone: (920) 433-9621
Fax: (920) 433-0565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1538306410 |
|---|---|
| LBN Legal business name | Green Bay Cardiothoracic & Vascular, Llc |
| DBA Doing business as | |
| Authorized official | Holewinski, Mary Jo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2009 |
| Last updated | Jan 16th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538306410 | NPPES |
| Wisconsin | Other | 1659412401 | MEDICARE NPI |
| Wisconsin | MEDICAID | 32897600 | MEDICARE NPI |
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