Medved Ent, Sc

LBN: Medved Ent, Sc
Medved Ent, Sc is an health care organization with primary practice located at 9200 W Loomis Rd Suite 206, Franklin WI 53132-8887. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Medved Ent, Sc can be contacted via phone (414) 529-9330, or through Medved, Peter M via phone (414) 529-9330.

Contact Information

Primary practice address
9200 W Loomis Rd Suite 206 Franklin WI 53132-8887
Fax: (414) 529-9331
Website:
Authorized official contact:
Name: Medved, Peter M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24579 Wisconsin

Profile Details

NPI number 1215140827
LBN Legal business name Medved Ent, Sc
DBA Doing business as
Authorized official Medved, Peter M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Apr 7th, 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 1215140827 NPPES
Wisconsin MEDICAID 30756000

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