Harley Davidson Health Center- Pilgrim Road

LBN: Premise Health Of Connecticut Medical, P.C.
Harley Davidson Health Center- Pilgrim Road is an health care organization with primary practice located at W156 N 9000 Rilgrim Rd , Menomonee Falls WI 53051. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Occupational Medicine is the primary health care specialty. Premise Health Of Connecticut Medical, P.C. can be contacted via phone (262) 502-8752, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
W156 N 9000 Rilgrim Rd Menomonee Falls WI 53051
Phone: (262) 502-8752
Fax: (262) 502-8756
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon Doctor of Medicine (MD)
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1770868135
LBN Legal business name Premise Health Of Connecticut Medical, P.C.
DBA Doing business as Harley Davidson Health Center- Pilgrim Road
Authorized official Leizman, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2011
Last updated Aug 15th, 2022 - about 3 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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