Watertown Internal Medicine Sc

LBN: Watertown Internal Medicine Sc
Watertown Internal Medicine Sc is an health care organization with primary practice located at 123 Hospital Dr Suite 2009, Watertown WI 53098-3331. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Watertown Internal Medicine Sc can be contacted via phone (920) 262-9833, or through Kluge, Robert James via phone (920) 262-4784.

Contact Information

Primary practice address
123 Hospital Dr Suite 2009 Watertown WI 53098-3331
Phone: (920) 262-9833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kluge, Robert James
Phone: (920) 262-4784

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1033215835
LBN Legal business name Watertown Internal Medicine Sc
DBA Doing business as
Authorized official Kluge, Robert James
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 4th, 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 1033215835 NPPES
Wisconsin MEDICAID 21267100

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