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
Phone: (608) 222-2700
Fax: (608) 222-2771
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255974952 | NPPES |
| Wisconsin | MEDICAID | 34668700 |
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