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Contact Information

BAYCARE CLINIC LLP
3117 SHORE DR
102
MARINETTE, WI54143-4293
 Phone: 715-735-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BAYCARE CLINIC LLP

NPI # 1568870632
LBN Legal business name BAYCARE CLINIC LLP
Authorized official CHRIS AUGUSTIAN - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2014
Last updated 04/20/2022 - About 4 years ago
Identifiers
WI License # 952
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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