Address Healthcare Of Michigan Pllc

LBN: Address Healthcare Of Michigan Pllc
Address Healthcare Of Michigan Pllc is an health care organization with primary practice located at 600 Monroe Avenue Nw Ste 104, Grand Rapids MI 49503-1470. The organization recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Address Healthcare Of Michigan Pllc can be contacted via phone (616) 366-4234, or through Wacksman, Jeffrey L via phone (616) 366-4234.

Contact Information

Primary practice address
600 Monroe Avenue Nw Ste 104 Grand Rapids MI 49503-1470
Phone: (616) 366-4234
Fax: (855) 548-4481
Website:
Map and Directions
Authorized official contact:
Name: Wacksman, Jeffrey L
Phone: (616) 366-4234

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1043075294
LBN Legal business name Address Healthcare Of Michigan Pllc
DBA Doing business as
Authorized official Wacksman, Jeffrey L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2024
Last updated Feb 16th, 2024 - about 9 months 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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