Integrative Health Center Of Central Wisconsin Llc

LBN: Integrative Health Center Of Central Wisconsin Llc
Integrative Health Center Of Central Wisconsin Llc is an health care organization with primary practice located at 3205 E Washington Ave Ste A , Madison WI 53704-4332. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Integrative Health Center Of Central Wisconsin Llc can be contacted via phone (608) 222-2700, or through Cotter, Jonathan via phone (608) 222-2700.

Contact Information

Primary practice address
3205 E Washington Ave Ste A Madison WI 53704-4332
Fax: (608) 222-2771
Website:
Authorized official contact:
Name: Cotter, Jonathan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255974952
LBN Legal business name Integrative Health Center Of Central Wisconsin Llc
DBA Doing business as Integrative Health Center Of Central Wisconsin Llc
Authorized official Cotter, Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2019
Last updated Jan 20th, 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 1255974952 NPPES
Wisconsin MEDICAID 34668700

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