S T Sy Md Sc

LBN: S T Sy Md Sc
S T Sy Md Sc is an health care organization with primary practice located at 4666 S 35Th St , Greenfield WI 53221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. S T Sy Md Sc can be contacted via phone (414) 281-0400, or through Sy, Santiago T via phone (414) 281-0400.

Contact Information

Primary practice address
4666 S 35Th St Greenfield WI 53221
Fax: (414) 281-0402
Website:
Authorized official contact:
Name: Sy, Santiago T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19332020 Wisconsin

Profile Details

NPI number 1114020633
LBN Legal business name S T Sy Md Sc
DBA Doing business as
Authorized official Sy, Santiago T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Mar 26th, 2012 - about 13 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 1114020633 NPPES
Wisconsin MEDICAID 309677

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