Retrac Enterprises Inc

LBN: Retrac Enterprises Inc
Retrac Enterprises Inc is an health care organization with primary practice located at 4117 N Green Bay Ave , Milwaukee WI 53209-7019. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Retrac Enterprises Inc can be contacted via phone (414) 433-0780, or through Ellis, Amber via phone (414) 218-8670.

Contact Information

Primary practice address
4117 N Green Bay Ave Milwaukee WI 53209-7019
Phone: (414) 433-0780
Fax: (414) 433-5780
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amber PHYSICIAN ASSISTANT
Phone: (414) 218-8670

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1306587167
LBN Legal business name Retrac Enterprises Inc
DBA Doing business as Retrac Enterprises Inc
Authorized official Ellis, Amber PHYSICIAN ASSISTANT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2022
Last updated Jun 6th, 2024 - about 2 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 1306587167 NPPES
Wisconsin MEDICAID 1760613327

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