Thedacare Physicians Pediatrics

LBN: Thedacare, Incorporated
Thedacare Physicians Pediatrics is an health care organization with primary practice located at 2701 E Enterprise Ave , Appleton WI 54913-7729. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Thedacare, Incorporated can be contacted via phone (920) 954-2551, or through Flett, William via phone (920) 454-4013.

Contact Information

Primary practice address
2701 E Enterprise Ave Appleton WI 54913-7729
Phone: (920) 954-2551
Fax: (920) 954-2554
Website:
Map and Directions
Authorized official contact:
Name: Flett, William
Phone: (920) 454-4013

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 40901020 Wisconsin

Profile Details

NPI number 1356424683
LBN Legal business name Thedacare, Incorporated
DBA Doing business as Thedacare Physicians Pediatrics
Authorized official Flett, William
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 2nd, 2024 - about 2 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 1356424683 NPPES
Wisconsin MEDICAID 32566400
Wisconsin Other 5127178

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