Edgewood College Sports Medicine

LBN: Edgewood College, Inc
Edgewood College Sports Medicine is an health care organization with primary practice located at 1000 Edgewood College Dr , Madison WI 53711-1997. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edgewood College, Inc can be contacted via phone (608) 663-4861, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1000 Edgewood College Dr Madison WI 53711-1997
Phone: (608) 663-4861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64261-21 Wisconsin

Profile Details

NPI number 1740739622
LBN Legal business name Edgewood College, Inc
DBA Doing business as Edgewood College Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2016
Last updated Oct 3rd, 2016 - about 10 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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