Organization
BELOIT CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P. SULLIVAN (CEO)
(608) 364-1244
Entity
Organization
Contact information
Practice address
1905 HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-2338
Mailing address
1905 HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-2338
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
—
—
247100000X
Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32808500
—
WI
Enumeration date
10/26/2006
Last updated
06/07/2010
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