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Contact Information

SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD.
1222 N 23RD ST
SHEBOYGAN, WI53081-3171
 Phone: 920-457-6800
 Fax: 920-457-6824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD.

NPI # 1730170283
LBN Legal business name SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD.
Authorized official DONNA LARUE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2005
Last updated 04/20/2008 - About 18 years ago
Identifiers
WI Medicaid 32719000
WI Other CH3854 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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