Waukesha Family Practice Center

LBN: Waukesha Family Practice Center
Waukesha Family Practice Center is an health care organization with primary practice located at 210 Nw Barstow St Suite 201, Waukesha WI 53188-3771. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Waukesha Family Practice Center can be contacted via phone (262) 548-6903, or through Purdy, Chris C via phone (262) 548-6916.

Contact Information

Primary practice address
210 Nw Barstow St Suite 201 Waukesha WI 53188-3771
Phone: (262) 548-6903
Fax: (262) 928-4075
Website:
Map and Directions
Authorized official contact:
Name: Purdy, Chris C Registered Nurse (RN)
Phone: (262) 548-6916

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1043344203
LBN Legal business name Waukesha Family Practice Center
DBA Doing business as
Authorized official Purdy, Chris C Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Jun 20th, 2008 - about 17 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 1043344203 NPPES
Wisconsin MEDICAID 32739000

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