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 720 S Van Buren St Suite 303, Green Bay WI 54301-3538. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Green Bay Cardiothoracic & Vascular Llc can be contacted via phone (920) 433-9621, or through Gerndt, Steven J via phone (920) 433-9621.
Contact Information
Primary practice address
720 S Van Buren St Suite 303
Green Bay WI 54301-3538
Phone: (920) 433-9621
Fax: (920) 433-0565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1659412401 |
|---|---|
| LBN Legal business name | Green Bay Cardiothoracic & Vascular Llc |
| DBA Doing business as | |
| Authorized official | Gerndt, Steven J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Dec 14th, 2011 - about 14 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 | 1659412401 | NPPES |
| Wisconsin | MEDICAID | 32897600 | |
| Wisconsin | Other | CG7604 |
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