Brad Wisowaty Dds Llc

LBN: Brad Wisowaty Dds Llc
Brad Wisowaty Dds Llc is an health care organization with primary practice located at 1302 Vale Park Rd , Valparaiso IN 46383-2722. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Brad Wisowaty Dds Llc can be contacted via phone (219) 462-0780, or through Wisowaty, Brad via phone (708) 945-5405.

Contact Information

Primary practice address
1302 Vale Park Rd Valparaiso IN 46383-2722
Phone: (219) 462-0780
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wisowaty, Brad Doctor of Dental Surgery (DDS)
Phone: (708) 945-5405

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1609565910
LBN Legal business name Brad Wisowaty Dds Llc
DBA Doing business as
Authorized official Wisowaty, Brad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2023
Last updated May 3rd, 2023 - 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.

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