Wisconsin Oculoplastics Sc
LBN: Wisconsin Institute Of Plastic Surgery Sc
Wisconsin Oculoplastics Sc is an health care organization with primary practice located at 2700 E Enterprise Ave Ste A , Appleton WI 54913-7656. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty.
Wisconsin Institute Of Plastic Surgery Sc can be contacted via phone (920) 965-1234, or through Justus, Wendy J via phone (920) 965-1234.
Contact Information
Primary practice address
2700 E Enterprise Ave Ste A
Appleton WI 54913-7656
Phone: (920) 965-1234
Fax: (920) 965-1232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X |
Profile Details
| NPI number | 1487703880 |
|---|---|
| LBN Legal business name | Wisconsin Institute Of Plastic Surgery Sc |
| DBA Doing business as | Wisconsin Oculoplastics Sc |
| Authorized official | Justus, Wendy J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Oct 21st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487703880 | NPPES |
| Wisconsin | MEDICAID | 3677500 |
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