Comprehensive Orthopaedics Sc

LBN: Comprehensive Orthopaedics Sc
Comprehensive Orthopaedics Sc is an health care organization with primary practice located at 7401 104Th Ave Suite 110, Kenosha WI 53142-7845. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Comprehensive Orthopaedics Sc can be contacted via phone (262) 764-5891, or through Main, Jonathan D via phone (262) 764-5891.

Contact Information

Primary practice address
7401 104Th Ave Suite 110 Kenosha WI 53142-7845
Phone: (262) 764-5891
Fax: (262) 764-9314
Website:
Map and Directions
Authorized official contact:
Name: Main, Jonathan D Doctor of Medicine (MD)
Phone: (262) 764-5891

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1295717445
LBN Legal business name Comprehensive Orthopaedics Sc
DBA Doing business as
Authorized official Main, Jonathan D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Sep 19th, 2018 - about 8 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 1295717445 NPPES
Wisconsin MEDICAID 32809300

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