Green Bay Emergency Medicine Services S.C.

LBN: Green Bay Emergency Medicine Services S.C.
Green Bay Emergency Medicine Services S.C. is an health care organization with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Green Bay Emergency Medicine Services S.C. can be contacted via phone (920) 433-3500, or through Sano, Keith via phone (920) 433-3500.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 433-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sano, Keith Doctor of Medicine (MD)
Phone: (920) 433-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1366424111
LBN Legal business name Green Bay Emergency Medicine Services S.C.
DBA Doing business as
Authorized official Sano, Keith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1366424111 NPPES
Wisconsin MEDICAID 21289100

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