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Contact Information

CONTINENCE & PELVIC WELLNESS CLINIC SC
1516 W MEQUON RD
SUITE 102
MEQUON, WI53092
 Phone: 262-240-1202
 Fax: 262-240-1205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CONTINENCE & PELVIC WELLNESS CLINIC SC

NPI # 1104848183
LBN Legal business name CONTINENCE & PELVIC WELLNESS CLINIC SC
Authorized official SHERESE HILDENBRAND - (OWNER VP)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 01/28/2014 - About 12 years ago
Identifiers
WI Medicaid 41012700
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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