Abigail Guevara Phd Pc

LBN: Abigail Guevara Phd Pc
Abigail Guevara Phd Pc is an health care organization with primary practice located at 16 N Moncoe , Rockford MI 49341. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Abigail Guevara Phd Pc can be contacted via phone (616) 866-4830, or through Hansen, Abigail Guevara via phone (616) 866-4830.

Contact Information

Primary practice address
16 N Moncoe Rockford MI 49341
Phone: (616) 866-4830
Fax: (616) 866-4944
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Abigail Guevara PHD
Phone: (616) 866-4830

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011335 Michigan

Profile Details

NPI number 1053421818
LBN Legal business name Abigail Guevara Phd Pc
DBA Doing business as
Authorized official Hansen, Abigail Guevara PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 21st, 2016 - about 9 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 1053421818 NPPES
Other 11277623 CAQH
Other 680DI15940 CAQH
Other 162677 CAQH
Other 7000023702 CAQH
Other 239038 CAQH

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