West Bend Clinic East
LBN: West Bend Clinic, Inc.
West Bend Clinic East is an health care organization with primary practice located at 1190 E Paradise Dr , West Bend WI 53095-5444. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Suppliers / Durable Medical Equipment & Medical Supplies. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
West Bend Clinic, Inc. can be contacted via phone (262) 306-6319, or through Blommel, Gregory G via phone (262) 334-3451.
Contact Information
Primary practice address
1190 E Paradise Dr
West Bend WI 53095-5444
Phone: (262) 306-6319
Fax:
Website:
Health care specialties
Profile Details
| NPI number | 1043220692 |
|---|---|
| LBN Legal business name | West Bend Clinic, Inc. |
| DBA Doing business as | West Bend Clinic East |
| Authorized official | Blommel, Gregory G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | May 23rd, 2012 - about 13 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 | 1043220692 | NPPES |
| Wisconsin | MEDICAID | 21251400 |
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