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Contact Information

EDWARD WOLPERT MD SC LTD
156 W JEFFERSON
SPRING GREEN, WI53588
 Phone: 608-588-2600
 Fax: 608-588-2644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EDWARD WOLPERT MD SC LTD

NPI Number 1356586481
LBN Legal business name EDWARD WOLPERT MD SC LTD
Authorized official EDWARD WOLPERT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2008
Last updated 02/13/2009 - About 17 years ago
Identifiers
IL License # 03637375
IL License # 071002659
WI License # 18657020
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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