Watertown Family Practice Associates S.C.
LBN: Watertown Family Practice Associates S.C.
Watertown Family Practice Associates S.C. is an health care organization with primary practice located at 127 Hospital Dr , Watertown WI 53098-3303. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Watertown Family Practice Associates S.C. can be contacted via phone (920) 261-8500, or through Sullivan, Michael E via phone (920) 261-8500.
Contact Information
Primary practice address
127 Hospital Dr
Watertown WI 53098-3303
Phone: (920) 261-8500
Fax:
Website:
Authorized official contact:
Name: Sullivan, Michael E Doctor of Medicine (MD)
Phone: (920) 261-8500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1811064942 |
|---|---|
| LBN Legal business name | Watertown Family Practice Associates S.C. |
| DBA Doing business as | |
| Authorized official | Sullivan, Michael E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Apr 7th, 2022 - about 3 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 | 1811064942 | NPPES |
| Wisconsin | MEDICAID | 32687900 |
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