Longevity Clinical Ltc Associates Of Wisconsin, Sc

LBN: Longevity Clinical Ltc Associates Of Wisconsin, Sc
Longevity Clinical Ltc Associates Of Wisconsin, Sc is an health care organization with primary practice located at 10 E Doty St Ste 800 , Madison WI 53703-5105. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Longevity Clinical Ltc Associates Of Wisconsin, Sc can be contacted via phone (608) 441-5700, or through Vincur, Diane L via phone (561) 815-2427.

Contact Information

Primary practice address
10 E Doty St Ste 800 Madison WI 53703-5105
Phone: (608) 441-5700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vincur, Diane L
Phone: (561) 815-2427

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1346922143
LBN Legal business name Longevity Clinical Ltc Associates Of Wisconsin, Sc
DBA Doing business as
Authorized official Vincur, Diane L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2023
Last updated Aug 2nd, 2023 - 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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