Wisconsin Tele-Med Network

LBN: Wisconsin Tele-Med Network
Wisconsin Tele-Med Network is an health care organization with primary practice located at 6923 39Th Ave , Kenosha WI 53142-7129. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Wisconsin Tele-Med Network can be contacted via phone (414) 416-3801, or through Bova, Jodi A via phone (414) 416-3801.

Contact Information

Primary practice address
6923 39Th Ave Kenosha WI 53142-7129
Phone: (414) 416-3801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bova, Jodi A
Phone: (414) 416-3801

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1568821841
LBN Legal business name Wisconsin Tele-Med Network
DBA Doing business as
Authorized official Bova, Jodi A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2016
Last updated Feb 25th, 2016 - about 10 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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