Brotoloc

LBN: Brotoloc Outpatient Clinic
Brotoloc is an health care organization with primary practice located at 5812 W Burnham St , West Allis WI 53219-1524. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Brotoloc Outpatient Clinic can be contacted via phone (414) 543-3200, or through Sveda, Douglas via phone (414) 543-3200.

Contact Information

Primary practice address
5812 W Burnham St West Allis WI 53219-1524
Phone: (414) 543-3200
Fax: (414) 543-3269
Website:
Map and Directions
Authorized official contact:
Name: Sveda, Douglas MSW
Phone: (414) 543-3200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1114 Wisconsin

Profile Details

NPI number 1700928017
LBN Legal business name Brotoloc Outpatient Clinic
DBA Doing business as Brotoloc
Authorized official Sveda, Douglas MSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1700928017 NPPES
Wisconsin MEDICAID 42207400

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