Heart And Vascular Institute Of Wisconsin

LBN: Heart And Vascular Of Wisconsin, Sc
Heart And Vascular Institute Of Wisconsin is an health care organization with primary practice located at 5045 W Grande Market Dr , Appleton WI 54913-8517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Heart And Vascular Of Wisconsin, Sc can be contacted via phone (920) 886-9380, or through Sobal, Larry via phone (904) 574-6211.

Contact Information

Primary practice address
5045 W Grande Market Dr Appleton WI 54913-8517
Phone: (920) 886-9380
Fax: (920) 886-9381
Website:
Map and Directions
Authorized official contact:
Name: Sobal, Larry
Phone: (904) 574-6211

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1053884478
LBN Legal business name Heart And Vascular Of Wisconsin, Sc
DBA Doing business as Heart And Vascular Institute Of Wisconsin
Authorized official Sobal, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2019
Last updated Oct 24th, 2022 - about 2 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 1053884478 NPPES
Wisconsin MEDICAID 100088147

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