Sequoia Integrative Medical Services Llc

LBN: Sequoia Integrative Medical Services Llc
Sequoia Integrative Medical Services Llc is an health care organization with primary practice located at 1351 Ontario Rd , Green Bay WI 54311-8302. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Sequoia Integrative Medical Services Llc can be contacted via phone (920) 328-1220, or through Friess, Mary K via phone (920) 579-1027.

Contact Information

Primary practice address
1351 Ontario Rd Green Bay WI 54311-8302
Phone: (920) 328-1220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Friess, Mary K APNP
Phone: (920) 579-1027

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1790312171
LBN Legal business name Sequoia Integrative Medical Services Llc
DBA Doing business as
Authorized official Friess, Mary K APNP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2020
Last updated Sep 22nd, 2022 - about 3 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 1790312171 NPPES
Wisconsin MEDICAID 36015700

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