<Unavail>

LBN: Legacy Physiatry Group Wisconsin, Llc
<Unavail> is an health care organization with primary practice located at 200 S Executive Dr Suite 101, Brookfield WI 53005-4216. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Legacy Physiatry Group Wisconsin, Llc can be contacted via phone (972) 372-1663, or through Sastry, Vivek via phone (972) 372-1663.

Contact Information

Primary practice address
200 S Executive Dr Suite 101 Brookfield WI 53005-4216
Phone: (972) 372-1663
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sastry, Vivek Doctor of Osteopathy (DO)
Phone: (972) 372-1663

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1275914483
LBN Legal business name Legacy Physiatry Group Wisconsin, Llc
DBA Doing business as <Unavail>
Authorized official Sastry, Vivek Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2015
Last updated Jun 12th, 2015 - about 11 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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