Mcdonough Orthopaedic And Sports Medicine Center Sc

LBN: Mcdonough Orthopaedic And Sports Medicine Center Sc
Mcdonough Orthopaedic And Sports Medicine Center Sc is an health care organization with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54494-4715. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Mcdonough Orthopaedic And Sports Medicine Center Sc can be contacted via phone (715) 421-5257, or through Christie, Wayne R via phone (715) 421-5257.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54494-4715
Fax: (715) 421-0111
Website:
Authorized official contact:
Name: Christie, Wayne R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1750374575
LBN Legal business name Mcdonough Orthopaedic And Sports Medicine Center Sc
DBA Doing business as
Authorized official Christie, Wayne R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 26th, 2005
Last updated Aug 6th, 2010 - 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 1750374575 NPPES
Wisconsin MEDICAID 32685600

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