Provider Type Icon

SUBDOC NPI 1477023729


NPI Information

NPI: 1477023729
Provider Name: SUBDOC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
7275 N PORT WASHINGTON RD APT 314
MILWAUKEE, WI
ZIP 53217
Phone: (414) 467-8884
Get Directions

SUBDOC is a clinic center in Milwaukee, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SUBDOC NPI is 1477023729. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7275 N PORT WASHINGTON RD APT 314
MILWAUKEE, WI
ZIP 53217-337
Phone: (414) 467-8884
Fax: (414) 435-3126

The provider's authorized official is Karina Chelsky .
The authorized official title is Administrator and has the following contact phone number (414) 467-8884.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 5/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistNo
2207Q00000XFamily MedicineNo
3261QR1100XClinic/CenterResearchNo
4261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.