Haight Pain
LBN: Oconto Physical Therapy, Llc
Haight Pain is an health care organization with primary practice located at 300 N Broadway Suite 3C, Green Bay WI 54303-2702. 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.
Oconto Physical Therapy, Llc can be contacted via phone (920) 437-7246, or through Willette, Cynthia L via phone (920) 437-7246.
Contact Information
Primary practice address
300 N Broadway Suite 3C
Green Bay WI 54303-2702
Phone: (920) 437-7246
Fax: (920) 437-1511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1934 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2368 | Wisconsin |
Profile Details
| NPI number | 1124016407 |
|---|---|
| LBN Legal business name | Oconto Physical Therapy, Llc |
| DBA Doing business as | Haight Pain |
| Authorized official | Willette, Cynthia L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124016407 | NPPES |
| Wisconsin | MEDICAID | 40422000 | |
| Wisconsin | Other | DA7771 |
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