Vintage View Therapy

LBN: Vintage View Farm Inc
Vintage View Therapy is an health care organization with primary practice located at 7230 W Highland Rd , Mequon WI 53092-1002. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Vintage View Farm Inc can be contacted via phone (262) 242-1110, or through Wallow, Adam via phone (262) 242-1110.

Contact Information

Primary practice address
7230 W Highland Rd Mequon WI 53092-1002
Phone: (262) 242-1110
Fax: (262) 236-9589
Website:
Map and Directions
Authorized official contact:
Name: Wallow, Adam
Phone: (262) 242-1110

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Managed Care Organizations / Preferred Provider Organization 305R00000X Wisconsin

Profile Details

NPI number 1841694650
LBN Legal business name Vintage View Farm Inc
DBA Doing business as Vintage View Therapy
Authorized official Wallow, Adam
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2014
Last updated Dec 7th, 2015 - about 11 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 1841694650 NPPES
Wisconsin Other 0100 NA

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