Grand Traverse Womens Clinic

LBN: Grand Traverse Womens Clinic
Grand Traverse Womens Clinic is an health care organization with primary practice located at 1200 Sixth St Ste 400, Traverse City MI 49684-2369. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as the primary health care specialty. Grand Traverse Womens Clinic can be contacted via phone (231) 392-0655, or through Rogers, Barbara via phone (231) 392-0655.

Contact Information

Primary practice address
1200 Sixth St Ste 400 Traverse City MI 49684-2369
Phone: (231) 392-0655
Fax: (231) 392-0691
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Barbara
Phone: (231) 392-0655

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 4704273686 Michigan

Profile Details

NPI number 1942552559
LBN Legal business name Grand Traverse Womens Clinic
DBA Doing business as
Authorized official Rogers, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2012
Last updated Feb 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942552559 NPPES
Michigan Other 4704273686 LICENSE

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