Pain Clinic Of Northwestern Wisconsin Sc

LBN: Pain Clinic Of Northwestern Wisconsin Sc
Pain Clinic Of Northwestern Wisconsin Sc is an health care organization with primary practice located at 1221 Whipple St , Eau Claire WI 54703-5270. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Pain Clinic Of Northwestern Wisconsin Sc can be contacted via phone (715) 552-5346, or through Endres, Stephen Mathias via phone (715) 552-5346.

Contact Information

Primary practice address
1221 Whipple St Eau Claire WI 54703-5270
Phone: (715) 552-5346
Fax: (715) 838-6596
Website:
Map and Directions
Authorized official contact:
Name: Endres, Stephen Mathias
Phone: (715) 552-5346

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1609844000
LBN Legal business name Pain Clinic Of Northwestern Wisconsin Sc
DBA Doing business as
Authorized official Endres, Stephen Mathias
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 21st, 2018 - about 6 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 1609844000 NPPES
Wisconsin MEDICAID 32805000

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