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Contact Information

INNOVATION ALLIANCE IPA LLC
2105 E ENTERPRISE AVE
SUITE 101
APPLETON, WI54913-7862
 Phone: 920-560-1100
 Fax: 920-560-1112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for INNOVATION ALLIANCE IPA LLC

NPI Number 1831547397
LBN Legal business name INNOVATION ALLIANCE IPA LLC
Authorized official CURT KUBIAK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2016
Last updated 12/06/2023 - About 2 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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