T G Green Do Sc

LBN: T G Green Do Sc
T G Green Do Sc is an health care organization with primary practice located at 13760 W Capitol Dr , Brookfield WI 53005-2407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. T G Green Do Sc can be contacted via phone (262) 781-1530, or through Green, Theodore G via phone (262) 781-1530.

Contact Information

Primary practice address
13760 W Capitol Dr Brookfield WI 53005-2407
Phone: (262) 781-1530
Fax: (262) 781-7941
Website:
Map and Directions
Authorized official contact:
Name: Green, Theodore G Doctor of Osteopathy (DO)
Phone: (262) 781-1530

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16986 Wisconsin

Profile Details

NPI number 1619279346
LBN Legal business name T G Green Do Sc
DBA Doing business as
Authorized official Green, Theodore G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 16 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 1619279346 NPPES
Wisconsin MEDICAID 30039500

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