Prohealth Medical Group Inc

LBN: Prohealth Medical Group Inc
Prohealth Medical Group Inc is an health care organization with primary practice located at 721 American Ave Suite 310, Waukesha WI 53188-5071. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Prohealth Medical Group Inc can be contacted via phone (262) 928-4880, or through Geiss, Md, Peter via phone (262) 928-8669.

Contact Information

Primary practice address
721 American Ave Suite 310 Waukesha WI 53188-5071
Fax: (262) 547-8820
Website:
Authorized official contact:
Name: Geiss, Md, Peter

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1629225677
LBN Legal business name Prohealth Medical Group Inc
DBA Doing business as
Authorized official Geiss, Md, Peter
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2008
Last updated May 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629225677 NPPES
Wisconsin Other 0505180013 DME

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