Elmbrook Pediatrics

LBN: Elmbrook Pediatrics
Elmbrook Pediatrics is an health care organization with primary practice located at 17000 W North Ave Suite 110E, Brookfield WI 53005-4423. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Elmbrook Pediatrics can be contacted via phone (262) 786-8199, or through Haworth, Nancy R. via phone (262) 786-8199.

Contact Information

Primary practice address
17000 W North Ave Suite 110E Brookfield WI 53005-4423
Phone: (262) 786-8199
Fax: (262) 786-0769
Website:
Map and Directions
Authorized official contact:
Name: Haworth, Nancy R. Doctor of Medicine (MD)
Phone: (262) 786-8199

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X Wisconsin

Profile Details

NPI number 1801853387
LBN Legal business name Elmbrook Pediatrics
DBA Doing business as
Authorized official Haworth, Nancy R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
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 1801853387 NPPES
Wisconsin Other 68180 GROUP MEDICARE

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