Midwest Orthodontic Associates
LBN: Midwest Orthodontic Associates
Midwest Orthodontic Associates is an health care organization with primary practice located at 5006 N University St , Peoria IL 61614-4715. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty.
Midwest Orthodontic Associates can be contacted via phone (309) 691-9665, or through Roehm, Stephen C via phone (309) 691-9665.
Contact Information
Primary practice address
5006 N University St
Peoria IL 61614-4715
Phone: (309) 691-9665
Fax: (309) 691-9665
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | Illinois |
Profile Details
NPI number | 1306988092 |
---|---|
LBN Legal business name | Midwest Orthodontic Associates |
DBA Doing business as | |
Authorized official | Roehm, Stephen C D.D.S, M.S. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 12th, 2007 |
Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306988092 | NPPES |
Illinois | MEDICAID | 1004551 |
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