Pathway Eclinic Sc

LBN: Pathway Eclinic Sc
Pathway Eclinic Sc is an health care organization with primary practice located at 2300 N Mayfair Rd Suite 425, Wauwatosa WI 53226-1505. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Pathway Eclinic Sc can be contacted via phone (414) 727-4455, or through Cornella- Carlson, Tracey Lee via phone (414) 727-4455.

Contact Information

Primary practice address
2300 N Mayfair Rd Suite 425 Wauwatosa WI 53226-1505
Phone: (414) 727-4455
Fax: (414) 727-4690
Website:
Map and Directions
Authorized official contact:
Name: Cornella- Carlson, Tracey Lee Doctor of Medicine (MD)
Phone: (414) 727-4455

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2605 Wisconsin

Profile Details

NPI number 1679725352
LBN Legal business name Pathway Eclinic Sc
DBA Doing business as
Authorized official Cornella- Carlson, Tracey Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2008
Last updated Oct 16th, 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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