Full Spectrum Family Medicine Pc

LBN: Full Spectrum Family Medicine Pc
Full Spectrum Family Medicine Pc is an health care organization with primary practice located at 2025 Abbot Rd Suite 100, East Lansing MI 48823-8573. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Full Spectrum Family Medicine Pc can be contacted via phone (517) 333-3550, or through Page-Echols, William Holding via phone (517) 333-3550.

Contact Information

Primary practice address
2025 Abbot Rd Suite 100 East Lansing MI 48823-8573
Fax: (517) 333-8774
Website:
Authorized official contact:
Name: Page-Echols, William Holding Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1124111026
LBN Legal business name Full Spectrum Family Medicine Pc
DBA Doing business as
Authorized official Page-Echols, William Holding Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 6th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124111026 NPPES
Michigan MEDICAID 4151513
Michigan MEDICAID 4151522

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