Omni Family Medical Clinic Sc

LBN: Omni Family Medical Clinic Sc
Omni Family Medical Clinic Sc is an health care organization with primary practice located at 7810 West Good Hope Road , Milwaukee WI 53223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Omni Family Medical Clinic Sc can be contacted via phone (414) 586-9255, or through Nunyakpe, Abalo via phone (414) 586-9255.

Contact Information

Primary practice address
7810 West Good Hope Road Milwaukee WI 53223
Phone: (414) 586-9255
Fax: (414) 586-9282
Website:
Map and Directions
Authorized official contact:
Name: Nunyakpe, Abalo Doctor of Medicine (MD)
Phone: (414) 586-9255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1679528822
LBN Legal business name Omni Family Medical Clinic Sc
DBA Doing business as
Authorized official Nunyakpe, Abalo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Apr 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 1679528822 NPPES
Wisconsin MEDICAID 21290800

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