Alternative Healthcare Family Practice Center LLC

Organization Active NPI Primary Care Clinic/Center · Delavan, WI

NPI 1942425210 · NPPES record last updated Apr 30, 2014

Key facts

NPI
1942425210
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
44907-021 (WI)
Legal business name
ALTERNATIVE HEALTHCARE FAMILY PRACTICE CENTER LLC
Practice address
312 S 7TH St
Suite 4
Delavan, WI 53115-1964
Phone
(262) 740-0900
Fax
(262) 740-0909
NPI assigned
Apr 13, 2007
Organization subpart
No

Authorized official

Name
Dr. Julie R Lynch, D.O.
Title
Physician
Phone
(262) 740-0900

National Provider Directory

Locations

312 S 7th St
Delavan, WI 53115
Phone (262) 728-1849

312 S 7th St
Stop 4
Delavan, WI 53115
Phone (262) 740-0900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 44907-021 WI Yes

Addresses

Primary practice location

312 S 7TH St
Suite 4
Delavan, WI 53115-1964

Mailing address

312 S 7TH St
Suite 4
Delavan, WI 53115-1964
Phone (262) 740-0900

Other identifiers

IdentifierTypeStateIssuer
44907-021OtherWISTATE LICENSE

Other providers in Delavan, WI

All providers in Delavan, WI · Primary Care Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.