Southside Pediatrics Assoc

LBN: Southside Pediatrics Assoc
Southside Pediatrics Assoc is an health care organization with primary practice located at 2727 W Cleveland Ave , Milwaukee WI 53215. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southside Pediatrics Assoc can be contacted via phone (414) 384-9880, or through Westley, Randall T via phone (414) 322-3030.

Contact Information

Primary practice address
2727 W Cleveland Ave Milwaukee WI 53215
Phone: (414) 384-9880
Fax: (414) 384-0134
Website:
Map and Directions
Authorized official contact:
Name: Westley, Randall T
Phone: (414) 322-3030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1427222082
LBN Legal business name Southside Pediatrics Assoc
DBA Doing business as
Authorized official Westley, Randall T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2008
Last updated Apr 15th, 2008 - about 18 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 1427222082 NPPES
Wisconsin MEDICAID 32696700

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