Thousand Mile Journey Llc

LBN: Thousand Mile Journey Llc
Thousand Mile Journey Llc is an health care organization with primary practice located at 10501 W Research Drive Suite G200, Milwaukee WI 53226-3444. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Thousand Mile Journey Llc can be contacted via phone (414) 543-3333, or through Person, Anne Ania via phone (414) 543-3333.

Contact Information

Primary practice address
10501 W Research Drive Suite G200 Milwaukee WI 53226-3444
Phone: (414) 543-3333
Fax: (414) 302-1040
Website:
Map and Directions
Authorized official contact:
Name: Person, Anne Ania Family Nurse Practitioner (FNP)
Phone: (414) 543-3333

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3110-33 Wisconsin

Profile Details

NPI number 1699159962
LBN Legal business name Thousand Mile Journey Llc
DBA Doing business as
Authorized official Person, Anne Ania Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2015
Last updated Mar 22nd, 2016 - about 10 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 1699159962 NPPES
Wisconsin MEDICAID 1699159962

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