Southeastern Wi Radiation

LBN: Southeastern Wi Radiation
Southeastern Wi Radiation is an health care organization with primary practice located at N16W24131 Riverwood Drive , Waukesha WI 53188. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Southeastern Wi Radiation can be contacted via phone (262) 696-0696, or through Clapper, Wingate Foster via phone (262) 696-0696.

Contact Information

Primary practice address
N16W24131 Riverwood Drive Waukesha WI 53188
Phone: (262) 696-0696
Fax: (262) 696-0683
Website:
Map and Directions
Authorized official contact:
Name: Clapper, Wingate Foster Doctor of Medicine (MD)
Phone: (262) 696-0696

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X Wisconsin

Profile Details

NPI number 1285601062
LBN Legal business name Southeastern Wi Radiation
DBA Doing business as
Authorized official Clapper, Wingate Foster Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 30th, 2017 - about 8 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 1285601062 NPPES
Wisconsin MEDICAID 32828400

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