Creekside Clinic, Llc

LBN: Creekside Clinic, Llc
Creekside Clinic, Llc is an health care organization with primary practice located at 1225 W Front St , Traverse City MI 49684-2317. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Creekside Clinic, Llc can be contacted via phone (231) 935-0788, or through Spence, Douglas via phone (231) 935-0788.

Contact Information

Primary practice address
1225 W Front St Traverse City MI 49684-2317
Phone: (231) 935-0788
Fax: (231) 935-0787
Website:
Map and Directions
Authorized official contact:
Name: Spence, Douglas Doctor of Medicine (MD)
Phone: (231) 935-0788

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1558390799
LBN Legal business name Creekside Clinic, Llc
DBA Doing business as
Authorized official Spence, Douglas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Dec 8th, 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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