Robert L. Hausserman, M.D.,S.C.

LBN: Robert L. Hausserman, M.D.,S.C.
Robert L. Hausserman, M.D.,S.C. is an health care organization with primary practice located at 2105 E Enterprise Ave Ste 112, Appleton WI 54913-7862. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Robert L. Hausserman, M.D.,S.C. can be contacted via phone (920) 731-3111, or through Hausserman, Robert L via phone (920) 731-3111.

Contact Information

Primary practice address
2105 E Enterprise Ave Ste 112 Appleton WI 54913-7862
Phone: (920) 731-3111
Fax: (920) 731-7133
Website:
Map and Directions
Authorized official contact:
Name: Hausserman, Robert L Doctor of Medicine (MD)
Phone: (920) 731-3111

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1871513119
LBN Legal business name Robert L. Hausserman, M.D.,S.C.
DBA Doing business as
Authorized official Hausserman, Robert L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 21st, 2022 - about 4 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 1871513119 NPPES
Wisconsin MEDICAID 30290000

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