Mark B. Smuckler Md Ltd

LBN: Mark B. Smuckler Md Ltd
Mark B. Smuckler Md Ltd is an health care organization with primary practice located at 155 E Silver Spring Dr 203, Milwaukee WI 53217-4704. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Mark B. Smuckler Md Ltd can be contacted via phone (414) 332-2450, or through Smuckler, Mark B via phone (414) 332-2450.

Contact Information

Primary practice address
155 E Silver Spring Dr 203 Milwaukee WI 53217-4704
Phone: (414) 332-2450
Fax: (414) 332-1390
Website:
Map and Directions
Authorized official contact:
Name: Smuckler, Mark B Doctor of Medicine (MD)
Phone: (414) 332-2450

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 16139 Wisconsin
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 16139 Wisconsin

Profile Details

NPI number 1528344819
LBN Legal business name Mark B. Smuckler Md Ltd
DBA Doing business as
Authorized official Smuckler, Mark B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 31st, 2011
Last updated Oct 31st, 2011 - about 14 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 1528344819 NPPES
Wisconsin MEDICAID 30954800

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