Shelley Boehm Mattia Md,Adult Psychiatry, Llc
LBN: Shelley Boehm Mattia Md,Adult Psychiatry, Llc
Shelley Boehm Mattia Md,Adult Psychiatry, Llc is an health care organization with primary practice located at 428 Doty St , Green Bay WI 54301-4509. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty.
Shelley Boehm Mattia Md,Adult Psychiatry, Llc can be contacted via phone (920) 965-6768, or through Boehm Mattia, Shelley Kathryn via phone (920) 246-4925.
Contact Information
Primary practice address
428 Doty St
Green Bay WI 54301-4509
Phone: (920) 965-6768
Fax: (920) 965-6769
Website:
Authorized official contact:
Name: Boehm Mattia, Shelley Kathryn Doctor of Medicine (MD)
Phone: (920) 246-4925
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 39641 | Wisconsin |
Profile Details
| NPI number | 1427410992 |
|---|---|
| LBN Legal business name | Shelley Boehm Mattia Md,Adult Psychiatry, Llc |
| DBA Doing business as | |
| Authorized official | Boehm Mattia, Shelley Kathryn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Oct 4th, 2016 - about 9 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 | 1427410992 | NPPES |
| Wisconsin | MEDICAID | 32453500 |
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