North Shore Center Llc

LBN: North Shore Center Llc
North Shore Center Llc is an health care organization with primary practice located at 10303 N Port Washington Rd #203, Mequon WI 53092. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. North Shore Center Llc can be contacted via phone (262) 241-5955, or through Mazius, Michael via phone (262) 241-5955.

Contact Information

Primary practice address
10303 N Port Washington Rd #203 Mequon WI 53092
Phone: (262) 241-5955
Fax: (262) 241-5926
Website:
Map and Directions
Authorized official contact:
Name: Mazius, Michael PHD
Phone: (262) 241-5955

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1780755389
LBN Legal business name North Shore Center Llc
DBA Doing business as
Authorized official Mazius, Michael PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780755389 NPPES
Wisconsin MEDICAID 42204700

Popular Providers