Great Lakes Obstetric Gynecological Specialists Plc
LBN: Great Lakes Obstetric Gynecological Specialists Plc
Great Lakes Obstetric Gynecological Specialists Plc is an health care organization with primary practice located at 1775 Wells Ave , Muskegon MI 49442-2459. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Great Lakes Obstetric Gynecological Specialists Plc can be contacted via phone (231) 773-9048, or through Karnes, Mark T via phone (231) 773-9048.
Contact Information
Primary practice address
1775 Wells Ave
Muskegon MI 49442-2459
Phone: (231) 773-9048
Fax: (231) 777-1218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MK008760 | Michigan |
Profile Details
| NPI number | 1366478026 |
|---|---|
| LBN Legal business name | Great Lakes Obstetric Gynecological Specialists Plc |
| DBA Doing business as | |
| Authorized official | Karnes, Mark T Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jun 2nd, 2009 - about 16 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 | 1366478026 | NPPES |
| Michigan | MEDICAID | 433625011 | |
| Michigan | MEDICAID | 461890011 | |
| Michigan | MEDICAID | 433624011 | |
| Michigan | MEDICAID | 483147511 |
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