Brookside Family Medicine A Center For Health And Well-Being Plc
LBN: Brookside Family Medicine A Center For Health And Well-Being Plc
Brookside Family Medicine A Center For Health And Well-Being Plc is an health care organization with primary practice located at 647 E Eighth St , Traverse City MI 49686-2630. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Brookside Family Medicine A Center For Health And Well-Being Plc can be contacted via phone (231) 922-0400, or through Graetz, Debra Kay via phone (231) 922-0400.
Contact Information
Primary practice address
647 E Eighth St
Traverse City MI 49686-2630
Phone: (231) 922-0400
Fax: (855) 586-8399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301068214 | Michigan |
Profile Details
| NPI number | 1699957571 |
|---|---|
| LBN Legal business name | Brookside Family Medicine A Center For Health And Well-Being Plc |
| DBA Doing business as | |
| Authorized official | Graetz, Debra Kay Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699957571 | NPPES |
| Michigan | MEDICAID | 4102107 | |
| Michigan | Other | 0280363 | |
| Michigan | Other | 0B810140 |
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