Great Lakes Cardiology, P.C.

LBN: Great Lakes Cardiology, P.C.
Great Lakes Cardiology, P.C. is an health care organization with primary practice located at 1221 6Th St Suite 204, Traverse City MI 49684-2359. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Great Lakes Cardiology, P.C. can be contacted via phone (231) 935-5750, or through Goepfrich, Cindy via phone (231) 935-5758.

Contact Information

Primary practice address
1221 6Th St Suite 204 Traverse City MI 49684-2359
Fax: (231) 935-5759
Website:
Authorized official contact:
Name: Goepfrich, Cindy

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301055166 Michigan

Profile Details

NPI number 1487683504
LBN Legal business name Great Lakes Cardiology, P.C.
DBA Doing business as
Authorized official Goepfrich, Cindy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1487683504 NPPES
Michigan Other 060B86046 BLUE SHIELD MI GROUP PROV

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