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Contact Information

SHEBOYGAN PEDIATRIC ASSOCIATES SC
2920 SUPERIOR AVENUE
SHEBOYGAN, WI53081
 Phone: 920-458-3331
 Fax: 920-458-1387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHEBOYGAN PEDIATRIC ASSOCIATES SC

NPI Number 1134285182
LBN Legal business name SHEBOYGAN PEDIATRIC ASSOCIATES SC
Authorized official WILLIAM TRAGER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 08/22/2020 - About 6 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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