Pt Connections
LBN: Jensen Interhealth
Pt Connections is an health care organization with primary practice located at 233 Carroll St , Random Lake WI 53075. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Jensen Interhealth can be contacted via phone (920) 994-4515, or through Grace-Jensen, Michelle Marie via phone (920) 994-4515.
Contact Information
Primary practice address
233 Carroll St
Random Lake WI 53075
Phone: (920) 994-4515
Fax: (920) 994-4583
Website:
Authorized official contact:
Name: Grace-Jensen, Michelle Marie Physical Therapist (PT)
Phone: (920) 994-4515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3728-24 | Wisconsin |
Profile Details
| NPI number | 1316978893 |
|---|---|
| LBN Legal business name | Jensen Interhealth |
| DBA Doing business as | Pt Connections |
| Authorized official | Grace-Jensen, Michelle Marie Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Aug 13th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316978893 | NPPES |
| Wisconsin | Other | 3728-024 | LISCENSE |
| Wisconsin | MEDICAID | 40428700 | LISCENSE |
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