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Contact Information

ADVANCED SPINE CENTER OF WISCONSIN, LLC
1380 TULLAR RD
NEENAH, WI54956-4440
 Phone: 920-205-0379
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for ADVANCED SPINE CENTER OF WISCONSIN, LLC

NPI # 1215492061
LBN Legal business name ADVANCED SPINE CENTER OF WISCONSIN, LLC
Authorized official JONATHAN BAILEY - (OFFICER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2019
Last updated 02/03/2025 - More than a year 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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