Prohealth Medical Group Inc

LBN: Prohealth Medical Group Inc
Prohealth Medical Group Inc is an health care organization with primary practice located at 240 W. Maple Avenue , Mukwonago WI 53149-8475. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Prohealth Medical Group Inc can be contacted via phone (262) 928-1900, or through Geiss, Peter via phone (262) 928-8669.

Contact Information

Primary practice address
240 W. Maple Avenue Mukwonago WI 53149-8475
Phone: (262) 928-1900
Fax: (262) 928-1949
Website:
Map and Directions
Authorized official contact:
Name: Geiss, Peter Doctor of Medicine (MD)
Phone: (262) 928-8669

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1891836649
LBN Legal business name Prohealth Medical Group Inc
DBA Doing business as
Authorized official Geiss, Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2007
Last updated May 24th, 2022 - about 4 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 1891836649 NPPES
Wisconsin Other 0505180003 DME
Wisconsin MEDICAID 32837900 DME

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