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Contact Information

BAYCARE CLINIC, LLP
720 S VAN BUREN ST
202
GREEN BAY, WI54301-3538
 Phone: 920-288-8240
 Fax: 920-288-8255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BAYCARE CLINIC, LLP

NPI # 1194180638
LBN Legal business name BAYCARE CLINIC, LLP
Authorized official CHRIS AUGUSTIAN - (CEO / CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2015
Last updated 04/13/2022 - About 4 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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