Sports Medicine Center S C

LBN: Sports Medicine Center S C
Sports Medicine Center S C is an health care organization with primary practice located at 277 Altenhofen Dr , Appleton WI 54913-8401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Sports Medicine Center S C can be contacted via phone (920) 993-1643, or through Mejia, Etienne A via phone (920) 993-1643.

Contact Information

Primary practice address
277 Altenhofen Dr Appleton WI 54913-8401
Phone: (920) 993-1643
Fax: (920) 993-1645
Website:
Map and Directions
Authorized official contact:
Name: Mejia, Etienne A Doctor of Medicine (MD)
Phone: (920) 993-1643

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1093729055
LBN Legal business name Sports Medicine Center S C
DBA Doing business as
Authorized official Mejia, Etienne A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 20th, 2009 - about 17 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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