Mayfair Digestive Health Center, Llc

LBN: Mayfair Digestive Health Center, Llc
Mayfair Digestive Health Center, Llc is an health care organization with primary practice located at 1033 N Mayfair Rd Suite 104, Wauwatosa WI 53226-3442. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mayfair Digestive Health Center, Llc can be contacted via phone (414) 454-0600, or through Marquez, Nicole via phone (414) 908-6601.

Contact Information

Primary practice address
1033 N Mayfair Rd Suite 104 Wauwatosa WI 53226-3442
Phone: (414) 454-0600
Fax: (414) 385-2980
Website:
Map and Directions
Authorized official contact:
Name: Marquez, Nicole
Phone: (414) 908-6601

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1013984657
LBN Legal business name Mayfair Digestive Health Center, Llc
DBA Doing business as
Authorized official Marquez, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 25th, 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 1013984657 NPPES
Wisconsin MEDICAID 41913000
Wisconsin Other 490005762

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