Provider Demographics
NPI:1326022831
Name:BABBITZ BURSTEIN AND NASH SC
Entity Type:Organization
Organization Name:BABBITZ BURSTEIN AND NASH SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABBITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-272-3000
Mailing Address - Street 1:2315 N LAKE DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-4518
Mailing Address - Country:US
Mailing Address - Phone:414-272-3000
Mailing Address - Fax:414-272-0109
Practice Address - Street 1:2315 N LAKE DR
Practice Address - Street 2:SUITE 400
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4518
Practice Address - Country:US
Practice Address - Phone:414-272-3000
Practice Address - Fax:414-272-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32672800Medicaid
WI32672800Medicaid