Green Bay Emergency Physicians, Llc

LBN: Green Bay Emergency Physicians, Llc
Green Bay Emergency Physicians, Llc is an health care organization with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Green Bay Emergency Physicians, Llc can be contacted via phone (414) 290-6718, or through Vaughn, Karen via phone (973) 251-1132.

Contact Information

Primary practice address
1726 Shawano Ave Green Bay WI 54303-3216
Phone: (414) 290-6718
Fax: (414) 290-6755
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Karen
Phone: (973) 251-1132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1083662712
LBN Legal business name Green Bay Emergency Physicians, Llc
DBA Doing business as
Authorized official Vaughn, Karen
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Feb 8th, 2024 - about 7 months 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 1083662712 NPPES
Wisconsin MEDICAID 32875300
Wisconsin Other 120003951
Wisconsin Other 137598401
Wisconsin Other CI8038
Wisconsin Other 020151500

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