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Contact Information

NORTHERN WISCONSIN BONE & JOINT CENTER, LTD
1630 N CHIPPEWA DR
RHINELANDER, WI54501
 Phone: 715-361-5480
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NORTHERN WISCONSIN BONE & JOINT CENTER, LTD

NPI # 1396914214
LBN Legal business name NORTHERN WISCONSIN BONE & JOINT CENTER, LTD
Authorized official LISA TADYCH - (CORPORATE SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2008
Last updated 04/20/2008 - About 18 years ago
Identifiers
WI License # 29520-020
WI Medicaid 21298800
WI Other 1052540001 DMERC
WI Other CQ2410 RR MEDICARE
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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