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Contact Information

CENTRAL OTOLOGIC LTD
888 THACKERAY TRAIL
SUITE # 108
OCONOMOWOC, WI53066
 Phone: 262-567-0505
 Fax: 262-567-0778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CENTRAL OTOLOGIC LTD

NPI Number 1295700565
LBN Legal business name CENTRAL OTOLOGIC LTD
Authorized official MICHAEL JANOWAK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI Medicaid 32684000
WI Other 551343 DEAN HEALTH PLAN
WI Other C01716 RAILROAD 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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