Waukesha Family Practice Clinic, Ltd.

LBN: Waukesha Family Practice Clinic, Ltd.
Waukesha Family Practice Clinic, Ltd. is an health care organization with primary practice located at 237 Wisconsin Ave , Waukesha WI 53186-4955. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Waukesha Family Practice Clinic, Ltd. can be contacted via phone (262) 542-5557, or through Beaumont, Robert J via phone (262) 542-5557.

Contact Information

Primary practice address
237 Wisconsin Ave Waukesha WI 53186-4955
Phone: (262) 542-5557
Fax: (262) 542-6199
Website:
Map and Directions
Authorized official contact:
Name: Beaumont, Robert J Doctor of Osteopathy (DO)
Phone: (262) 542-5557

Health care specialties

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

Profile Details

NPI number 1740274687
LBN Legal business name Waukesha Family Practice Clinic, Ltd.
DBA Doing business as
Authorized official Beaumont, Robert J Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Apr 15th, 2008 - about 17 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 1740274687 NPPES
Wisconsin MEDICAID 21266500

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