Eastside Family Medical
LBN: Dubois Medical Enterprises Pc
Eastside Family Medical is an health care organization with primary practice located at 8540 105Th Ave , Stanwood MI 49346-9764. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Suppliers / Non-Pharmacy Dispensing Site. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Dubois Medical Enterprises Pc can be contacted via phone (231) 972-2710, or through Dubois, William Frederick via phone (231) 972-2710.
Contact Information
Primary practice address
8540 105Th Ave
Stanwood MI 49346-9764
Phone: (231) 972-2710
Fax: (231) 972-2712
Website:
Authorized official contact:
Name: Dubois, William Frederick Doctor of Medicine (MD)
Phone: (231) 972-2710
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
| NPI number | 1073534392 |
|---|---|
| LBN Legal business name | Dubois Medical Enterprises Pc |
| DBA Doing business as | Eastside Family Medical |
| Authorized official | Dubois, William Frederick Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jun 2nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073534392 | NPPES |
| Michigan | Other | 0E46007 | BCBS |
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