Healthcare Provider Details

I. General information

NPI: 1851798722
Provider Name (Legal Business Name): BETTER HEALTH, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 11/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 W BURLEIGH ST
MILWAUKEE WI
53222-5002
US

IV. Provider business mailing address

PO BOX 511010
MILWAUKEE WI
53203-0171
US

V. Phone/Fax

Practice location:
  • Phone: 414-444-6000
  • Fax: 888-664-5360
Mailing address:
  • Phone: 414-444-6000
  • Fax: 888-664-5360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number63211
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23173
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1865
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2138
License Number StateWI
# 5
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number21373
License Number StateWI

VIII. Authorized Official

Name: DR. RICARDO SINENSE
Title or Position: OWNER
Credential: M.D.
Phone: 414-444-6000