Southeastern Pediatric & Adolescent Medicine

LBN: Southeastern Pediatric & Adolescent Medicine, S.C.
Southeastern Pediatric & Adolescent Medicine is an health care organization with primary practice located at 8532 W Capitol Dr , Milwaukee WI 53222-1848. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southeastern Pediatric & Adolescent Medicine, S.C. can be contacted via phone (414) 463-2607, or through Deltoro, Rosie via phone (414) 463-2607.

Contact Information

Primary practice address
8532 W Capitol Dr Milwaukee WI 53222-1848
Phone: (414) 463-2607
Fax: (414) 463-6743
Website:
Map and Directions
Authorized official contact:
Name: Deltoro, Rosie
Phone: (414) 463-2607

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1457483612
LBN Legal business name Southeastern Pediatric & Adolescent Medicine, S.C.
DBA Doing business as Southeastern Pediatric & Adolescent Medicine
Authorized official Deltoro, Rosie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Apr 30th, 2015 - about 11 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 1457483612 NPPES
Wisconsin MEDICAID 32787700

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