Watertower Pain Consultants, Sc

LBN: Watertower Pain Consultants, Sc
Watertower Pain Consultants, Sc is an health care organization with primary practice located at 575 W River Woods Pkwy #205, Glendale WI 53212-1003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Watertower Pain Consultants, Sc can be contacted via phone (414) 962-6700, or through Donatello, Stephen via phone (414) 962-6700.

Contact Information

Primary practice address
575 W River Woods Pkwy #205 Glendale WI 53212-1003
Phone: (414) 962-6700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Donatello, Stephen Doctor of Medicine (MD)
Phone: (414) 962-6700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1053389544
LBN Legal business name Watertower Pain Consultants, Sc
DBA Doing business as
Authorized official Donatello, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 9th, 2008 - about 18 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 1053389544 NPPES
Wisconsin MEDICAID 21298700
Wisconsin Other 52D1088766

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