Optimal Performance Health Care Center Llc

LBN: Optimal Performance Health Care Center Llc
Optimal Performance Health Care Center Llc is an health care organization with primary practice located at 10500 W Loomis Rd Suite 160, Franklin WI 53132-8030. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Optimal Performance Health Care Center Llc can be contacted via phone (414) 491-8650, or through Van Westen, Corey via phone (414) 491-8650.

Contact Information

Primary practice address
10500 W Loomis Rd Suite 160 Franklin WI 53132-8030
Fax: (414) 810-0894
Website:
Authorized official contact:
Name: Van Westen, Corey Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 4410-12 Wisconsin

Profile Details

NPI number 1275814345
LBN Legal business name Optimal Performance Health Care Center Llc
DBA Doing business as
Authorized official Van Westen, Corey Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2011
Last updated Sep 23rd, 2011 - about 13 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 1275814345 NPPES
Wisconsin MEDICAID 100002627
Wisconsin Other 1275814345
Wisconsin Other 1588628473

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