Fox Valley Pulmonary Medicine, Llc

LBN: Fox Valley Pulmonary Medicine, Llc
Fox Valley Pulmonary Medicine, Llc is an health care organization with primary practice located at 820 E Grant St Suite S 250, Appleton WI 54911-3483. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fox Valley Pulmonary Medicine, Llc can be contacted via phone (920) 734-9600, or through Ploederl, Rebecca A via phone (920) 380-1535.

Contact Information

Primary practice address
820 E Grant St Suite S 250 Appleton WI 54911-3483
Fax: (920) 734-4773
Website:
Authorized official contact:
Name: Ploederl, Rebecca A

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1265590848
LBN Legal business name Fox Valley Pulmonary Medicine, Llc
DBA Doing business as
Authorized official Ploederl, Rebecca A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 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 1265590848 NPPES
Wisconsin MEDICAID 32879600

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