Infectious Disease Specialists Of Se Wi, Sc

LBN: Infectious Disease Specialists Of Se Wi, Sc
Infectious Disease Specialists Of Se Wi, Sc is an health care organization with primary practice located at 150 S. Sunny Slope Rd Suite 136, Brookfield WI 53005. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Infectious Disease Specialists Of Se Wi, Sc can be contacted via phone (262) 786-4550, or through Letzer, David M via phone (262) 786-4550.

Contact Information

Primary practice address
150 S. Sunny Slope Rd Suite 136 Brookfield WI 53005
Fax: (262) 786-4552
Website:
Authorized official contact:
Name: Letzer, David M Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1285684506
LBN Legal business name Infectious Disease Specialists Of Se Wi, Sc
DBA Doing business as
Authorized official Letzer, David M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Dec 2nd, 2011 - about 13 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 1285684506 NPPES
Wisconsin MEDICAID 32764900

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