Neurocore

LBN: 139 Education, Llc
Neurocore is an health care organization with primary practice located at 1971 E Beltline Ave Ne Suite 212, Grand Rapids MI 49525-7045. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. 139 Education, Llc can be contacted via phone (800) 600-4096, or through Royer, Timothy via phone (616) 706-5649.

Contact Information

Primary practice address
1971 E Beltline Ave Ne Suite 212 Grand Rapids MI 49525-7045
Phone: (800) 600-4096
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Royer, Timothy
Phone: (616) 706-5649

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301009353 Michigan

Profile Details

NPI number 1114290517
LBN Legal business name 139 Education, Llc
DBA Doing business as Neurocore
Authorized official Royer, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Feb 15th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114290517 NPPES
Michigan Other 1013294628 NPI #
Michigan Other 0D14689 NPI #

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