Rachael Weiderhold D.O. Inc

LBN: Rachael Weiderhold D.O. Inc
Rachael Weiderhold D.O. Inc is an health care organization with primary practice located at 9004 W Lincoln Ave Suite 101, West Allis WI 53227-2452. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rachael Weiderhold D.O. Inc can be contacted via phone (414) 545-5542, or through Gates, Rachael Lynn via phone (414) 545-5542.

Contact Information

Primary practice address
9004 W Lincoln Ave Suite 101 West Allis WI 53227-2452
Phone: (414) 545-5542
Fax: (414) 545-5548
Website:
Map and Directions
Authorized official contact:
Name: Gates, Rachael Lynn Doctor of Osteopathy (DO)
Phone: (414) 545-5542

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32395 Wisconsin

Profile Details

NPI number 1215942867
LBN Legal business name Rachael Weiderhold D.O. Inc
DBA Doing business as
Authorized official Gates, Rachael Lynn Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 4th, 2013 - about 12 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 1215942867 NPPES
Wisconsin MEDICAID 30057700

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