Haight Pain

LBN: Oconto Physical Therapy, Llc
Haight Pain is an health care organization with primary practice located at 300 N Broadway Suite 3C, Green Bay WI 54303-2702. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Oconto Physical Therapy, Llc can be contacted via phone (920) 437-7246, or through Willette, Cynthia L via phone (920) 437-7246.

Contact Information

Primary practice address
300 N Broadway Suite 3C Green Bay WI 54303-2702
Fax: (920) 437-1511
Website:
Authorized official contact:
Name: Willette, Cynthia L

Profile Details

NPI number 1124016407
LBN Legal business name Oconto Physical Therapy, Llc
DBA Doing business as Haight Pain
Authorized official Willette, Cynthia L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 27th, 2014 - about 10 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 1124016407 NPPES
Wisconsin MEDICAID 40422000
Wisconsin Other DA7771

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