Grand Rapids Addiction Medicine Specialists Pc

LBN: Grand Rapids Addiction Medicine Specialists Pc
Grand Rapids Addiction Medicine Specialists Pc is an health care organization with primary practice located at 4100 Lake Dr Se Suite 305, Grand Rapids MI 49546-8292. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Grand Rapids Addiction Medicine Specialists Pc can be contacted via phone (616) 954-0600, or through Nedd, Khan Javan via phone (616) 954-0600.

Contact Information

Primary practice address
4100 Lake Dr Se Suite 305 Grand Rapids MI 49546-8292
Phone: (616) 954-0600
Fax: (616) 954-1675
Website:
Map and Directions
Authorized official contact:
Name: Nedd, Khan Javan Doctor of Medicine (MD)
Phone: (616) 954-0600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301047295 Michigan

Profile Details

NPI number 1780642355
LBN Legal business name Grand Rapids Addiction Medicine Specialists Pc
DBA Doing business as
Authorized official Nedd, Khan Javan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jul 31st, 2007 - about 17 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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