Thedacare Physicians

LBN: Thedacare, Incorporated
Thedacare Physicians is an health care organization with primary practice located at 1405 Mill St , New London WI 54961-2155. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Thedacare, Incorporated can be contacted via phone (920) 830-5900, or through Flett, William via phone (920) 454-4013.

Contact Information

Primary practice address
1405 Mill St New London WI 54961-2155
Phone: (920) 830-5900
Fax: (920) 830-5910
Website:
Map and Directions
Authorized official contact:
Name: Flett, William
Phone: (920) 454-4013

Health care specialties

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

Profile Details

NPI number 1376656959
LBN Legal business name Thedacare, Incorporated
DBA Doing business as Thedacare Physicians
Authorized official Flett, William
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 2nd, 2024 - about 10 months 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 1376656959 NPPES
Wisconsin MEDICAID 32883500
Wisconsin Other WI2721

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