Pentwater Family Practice

LBN: Allan D. Nelson, M.D.
Pentwater Family Practice is an health care organization with primary practice located at 500 Hancock St , Pentwater MI 49449-0619. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Allan D. Nelson, M.D. can be contacted via phone (231) 869-7051, or through Nelson, Allan D. via phone (231) 869-7051.

Contact Information

Primary practice address
500 Hancock St Pentwater MI 49449-0619
Fax: (231) 869-5536
Website:
Authorized official contact:
Name: Nelson, Allan D. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 4301036682 Michigan

Profile Details

NPI number 1932317450
LBN Legal business name Allan D. Nelson, M.D.
DBA Doing business as Pentwater Family Practice
Authorized official Nelson, Allan D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Jul 19th, 2010 - about 14 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 1932317450 NPPES
Michigan MEDICAID 2107294
Michigan Other 0640001

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