Orthopedic & Sports Medicine Specialists Of Green Bay, Sc

LBN: Orthopedic & Sports Medicine Specialists Of Green Bay, Sc
Orthopedic & Sports Medicine Specialists Of Green Bay, Sc is an health care organization with primary practice located at 2223 Lime Kiln Rd Suite 1, Green Bay WI 54311-6213. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Orthopedic & Sports Medicine Specialists Of Green Bay, Sc can be contacted via phone (920) 430-8120, or through Klaus, Katie via phone (920) 965-9517.

Contact Information

Primary practice address
2223 Lime Kiln Rd Suite 1 Green Bay WI 54311-6213
Fax: (920) 430-8122
Website:
Authorized official contact:
Name: Klaus, Katie

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Wisconsin

Profile Details

NPI number 1760670145
LBN Legal business name Orthopedic & Sports Medicine Specialists Of Green Bay, Sc
DBA Doing business as
Authorized official Klaus, Katie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Apr 28th, 2023 - about last year

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 1760670145 NPPES
Wisconsin MEDICAID 21316600

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