Beaver Dam Orthopaedic Clinic, Ltd.

LBN: Excel Orthopedics, Ltd.
Beaver Dam Orthopaedic Clinic, Ltd. is an health care organization with primary practice located at 705 S University Ave Ste 150, Beaver Dam WI 53916-3071. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Excel Orthopedics, Ltd. can be contacted via phone (920) 885-2663, or through Adams, Mark L via phone (920) 885-2663.

Contact Information

Primary practice address
705 S University Ave Ste 150 Beaver Dam WI 53916-3071
Fax: (920) 885-2466
Website:
Authorized official contact:
Name: Adams, Mark L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1366554487
LBN Legal business name Excel Orthopedics, Ltd.
DBA Doing business as Beaver Dam Orthopaedic Clinic, Ltd.
Authorized official Adams, Mark L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 26th, 2014 - about 12 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 1366554487 NPPES
Wisconsin MEDICAID 32871500

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