Kenosha Hand & Plastic Surgery Sc

LBN: Kenosha Hand & Plastic Surgery Sc
Kenosha Hand & Plastic Surgery Sc is an health care organization with primary practice located at 10117 74Th St Ste 100 , Kenosha WI 53142-7542. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Kenosha Hand & Plastic Surgery Sc can be contacted via phone (262) 656-8237, or through Birndorf, Michael via phone (262) 656-8237.

Contact Information

Primary practice address
10117 74Th St Ste 100 Kenosha WI 53142-7542
Phone: (262) 656-8237
Fax: (622) 453-0882
Website:
Map and Directions
Authorized official contact:
Name: Birndorf, Michael Doctor of Medicine (MD)
Phone: (262) 656-8237

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 33466020 Wisconsin

Profile Details

NPI number 1912329905
LBN Legal business name Kenosha Hand & Plastic Surgery Sc
DBA Doing business as
Authorized official Birndorf, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2014
Last updated Jun 10th, 2024 - about last year

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 1912329905 NPPES
Wisconsin MEDICAID 31835100

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