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Contact Information

EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
1414 N TAYLOR DR STE 144
SHEBOYGAN, WI53081-1988
 Phone: 920-457-4400
 Fax: 920-457-4422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC

NPI Number 1457317463
LBN Legal business name EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
Authorized official DAVID HALLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2006
Last updated 06/24/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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