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Contact Information

FACE AND SKIN LLC
120 PARK AVE STE 1
BEAVER DAM, WI53916-2132
 Phone: 920-885-5225
 Fax: 920-356-6419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for FACE AND SKIN LLC

NPI # 1942524780
LBN Legal business name FACE AND SKIN LLC
Authorized official KELSEY PATTEE - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2010
Last updated 01/11/2024 - About 2 years ago
Identifiers
WI Medicaid 100010205
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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