Valley Orthopedic Clinic Sc

LBN: Valley Orthopedic Clinic Sc
Valley Orthopedic Clinic Sc is an health care organization with primary practice located at 2105 E Enterprise Ave Ste 111, Appleton WI 54913-7862. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Valley Orthopedic Clinic Sc can be contacted via phone (920) 731-6611, or through Sommerville, Amy via phone (920) 731-6611.

Contact Information

Primary practice address
2105 E Enterprise Ave Ste 111 Appleton WI 54913-7862
Phone: (920) 731-6611
Fax: (920) 731-6732
Website:
Map and Directions
Authorized official contact:
Name: Sommerville, Amy
Phone: (920) 731-6611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1780628925
LBN Legal business name Valley Orthopedic Clinic Sc
DBA Doing business as
Authorized official Sommerville, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated May 11th, 2022 - about 2 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 1780628925 NPPES
Wisconsin MEDICAID 32748000

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