Wade Koski Llc
LBN: Wade Koski Llc
Wade Koski Llc is an health care organization with primary practice located at 4402 S 68Th St Suite #100, Greenfield WI 53220-3479. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Wade Koski Llc can be contacted via phone (414) 467-2477, or through Koski, Wade via phone (414) 467-2477.
Contact Information
Primary practice address
4402 S 68Th St Suite #100
Greenfield WI 53220-3479
Phone: (414) 467-2477
Fax: (414) 321-0552
Website:
Authorized official contact:
Name: Koski, Wade Licensed Clinical Social Worker (LCSW)
Phone: (414) 467-2477
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1992106595 |
|---|---|
| LBN Legal business name | Wade Koski Llc |
| DBA Doing business as | |
| Authorized official | Koski, Wade Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2014 |
| Last updated | Sep 15th, 2014 - about 11 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 | 1992106595 | NPPES |
| Wisconsin | MEDICAID | 40959600 |
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