Oral Surgery Clinic Of La Crosse Ltd.
LBN: Oral Surgery Clinic Of La Crosse Ltd.
Oral Surgery Clinic Of La Crosse Ltd. is an health care organization with primary practice located at 2819 National Dr , Onalaska WI 54650-6703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Oral Surgery Clinic Of La Crosse Ltd. can be contacted via phone (608) 782-8193, or through Ludington, David Paul via phone (608) 782-8193.
Contact Information
Primary practice address
2819 National Dr
Onalaska WI 54650-6703
Phone: (608) 782-8193
Fax: (608) 782-4517
Website:
Authorized official contact:
Name: Ludington, David Paul Doctor of Dental Surgery (DDS)
Phone: (608) 782-8193
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X |
Profile Details
| NPI number | 1962531178 |
|---|---|
| LBN Legal business name | Oral Surgery Clinic Of La Crosse Ltd. |
| DBA Doing business as | |
| Authorized official | Ludington, David Paul Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 29th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962531178 | NPPES |
| Wisconsin | MEDICAID | 33757600 | |
| Wisconsin | Other | 835478 |
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