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Contact Information

TANYA A WILBERT
1915 W FAIRMOUNT AVE
MILWAUKEE, WI53209
 Phone: 414-795-9731
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Broker

347E00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1205465176
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/03/2020
Last updated 04/03/2020 - About 6 years ago
Identifiers
WI License # W4168017666106
WI Medicaid 46-4216712
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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