Prohealth Medical Group Inc
LBN: Prohealth Medical Group Inc
Prohealth Medical Group Inc is an health care organization with primary practice located at 20611 Watertown Rd Suite J, Waukesha WI 53186-1871. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Prohealth Medical Group Inc can be contacted via phone (262) 928-5900, or through Geiss, Md, Peter via phone (262) 928-8669.
Contact Information
Primary practice address
20611 Watertown Rd Suite J
Waukesha WI 53186-1871
Phone: (262) 928-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X |
Profile Details
| NPI number | 1720371719 |
|---|---|
| LBN Legal business name | Prohealth Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Geiss, Md, Peter |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2011 |
| Last updated | Sep 8th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720371719 | NPPES |
| Wisconsin | MEDICAID | 32652600 | |
| Wisconsin | Other | 0505180008 |
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