Ob-Gyn Assoc Of Green Bay Ltd

LBN: Ob-Gyn Assoc Of Green Bay Ltd
Ob-Gyn Assoc Of Green Bay Ltd is an health care organization with primary practice located at 704 S Webster Ave Ste 300, Green Bay WI 54301. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Allopathic & Osteopathic Physicians / Critical Care Medicine is the primary health care specialty. Ob-Gyn Assoc Of Green Bay Ltd can be contacted via phone (920) 468-3443, or through Demott, Robert Knox via phone (920) 468-3443.

Contact Information

Primary practice address
704 S Webster Ave Ste 300 Green Bay WI 54301
Phone: (920) 468-3443
Fax: (920) 432-6313
Website:
Map and Directions
Authorized official contact:
Name: Demott, Robert Knox Doctor of Medicine (MD)
Phone: (920) 468-3443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207VC0200X Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X Wisconsin

Profile Details

NPI number 1154400034
LBN Legal business name Ob-Gyn Assoc Of Green Bay Ltd
DBA Doing business as
Authorized official Demott, Robert Knox Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 1st, 2008 - about 16 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 1154400034 NPPES
Wisconsin MEDICAID 32400300
Wisconsin MEDICAID 41963900
Wisconsin MEDICAID 30661000
Wisconsin MEDICAID 30984300
Wisconsin MEDICAID 41964300
Wisconsin MEDICAID 43977500
Wisconsin Other 1174547244

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