Great Lakes Orthopaedic Center, P.C.
LBN: Great Lakes Orthopaedic Center, P.C.
Great Lakes Orthopaedic Center, P.C. is an health care organization with primary practice located at 4045 W Royal Dr , Traverse City MI 49684-8965. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Great Lakes Orthopaedic Center, P.C. can be contacted via phone (231) 935-0900, or through Durga, Chrissy via phone (231) 929-5734.
Contact Information
Primary practice address
4045 W Royal Dr
Traverse City MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1952323453 |
|---|---|
| LBN Legal business name | Great Lakes Orthopaedic Center, P.C. |
| DBA Doing business as | |
| Authorized official | Durga, Chrissy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Oct 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952323453 | NPPES |
| Michigan | Other | 200B811700 | BLUE CROSS BLUE SHIELD GROUP ID # |
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