The Doc At Your Door,Llc

LBN: The Doc At Your Door,Llc
The Doc At Your Door,Llc is an health care organization with primary practice located at N9554 Highline Rd , Kaukauna WI 54130-8502. The organization recently has only one registered license in Ambulatory Health Care Facilities / Emergency Care, which is considered as the primary health care specialty. The Doc At Your Door,Llc can be contacted via phone (920) 277-9716, or through Demery, Patricia M via phone (920) 277-9716.

Contact Information

Primary practice address
N9554 Highline Rd Kaukauna WI 54130-8502
Phone: (920) 277-9716
Fax: (920) 766-6802
Website:
Map and Directions
Authorized official contact:
Name: Demery, Patricia M Doctor of Medicine (MD)
Phone: (920) 277-9716

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Emergency Care 261QE0002X 32560 Wisconsin

Profile Details

NPI number 1104138882
LBN Legal business name The Doc At Your Door,Llc
DBA Doing business as
Authorized official Demery, Patricia M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2010
Last updated Nov 29th, 2010 - about 15 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 1104138882 NPPES
Wisconsin Other WI1790 MEDICARE PTAN
Wisconsin Other WI1789 MEDICARE PTAN
Wisconsin MEDICAID 31750000 MEDICARE PTAN

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