Theresa Pardoe D.O.

LBN: Theresa Pardoe D.O.
Theresa Pardoe D.O. is an health care organization with primary practice located at 9305 W National Ave , West Allis WI 53227-1541. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Theresa Pardoe D.O. can be contacted via phone (414) 545-1120, or through Pardoe, Theresa Marie via phone (414) 545-1120.

Contact Information

Primary practice address
9305 W National Ave West Allis WI 53227-1541
Phone: (414) 545-1120
Fax: (414) 545-2505
Website:
Map and Directions
Authorized official contact:
Name: Pardoe, Theresa Marie Doctor of Osteopathy (DO)
Phone: (414) 545-1120

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29660 Wisconsin

Profile Details

NPI number 1083635189
LBN Legal business name Theresa Pardoe D.O.
DBA Doing business as
Authorized official Pardoe, Theresa Marie Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 22nd, 2007 - about 19 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 1083635189 NPPES
Wisconsin MEDICAID 31462700
Wisconsin Other 479701014009

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