Spine Center Of Wisconsin Sc
LBN: Spine Center Of Wisconsin Sc
Spine Center Of Wisconsin Sc is an health care organization with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 355 , Milwaukee WI 53215-3695. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Radiology, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty.
Spine Center Of Wisconsin Sc can be contacted via phone (414) 235-3623, or through Banach, Mary J via phone (414) 235-3623.
Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy Ste 355
Milwaukee WI 53215-3695
Phone: (414) 235-3623
Fax: (414) 235-3623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 19042 | Wisconsin |
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | XM39276 | Wisconsin |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1467561506 |
|---|---|
| LBN Legal business name | Spine Center Of Wisconsin Sc |
| DBA Doing business as | |
| Authorized official | Banach, Mary J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 18th, 2008 - about 16 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 | 1467561506 | NPPES |
| Wisconsin | MEDICAID | 30876700 |
Popular Providers
-
Midwest Radiology And Imaging Pc
1200 1St Ave E , Spencer IA 51301-4342 -
Southern Eye Center P.A. Ii
1420 S 28Th Ave , Hattiesburg MS 39402-3107 -
Gmg-13 Llc
1707 N Prospect Ave Unit 12A , Milwaukee WI 53202-1912 -
Csm Community Physician
2350 N Lake Dr Suite 206, Milwaukee WI 53211-4528 -
Children'S Hospital And Health System, Inc.
9000 W Wisconsin Ave , Milwaukee WI 53226-3518 -
Bay Eye Medical Group Inc.
1665 Dominican Way Ste 124, Santa Cruz CA 95065-1528 -
Northwest Outpatient Cancer Center
17323 Red Oak Dr , Houston TX 77090-1243 -
Affiliated Ent, Sc
2500 N Mayfair Rd Ste 450 , Milwaukee WI 53226-1443