Great Lakes Pain Consult Pllc

LBN: Great Lakes Pain Consult Pllc
Great Lakes Pain Consult Pllc is an health care organization with primary practice located at 4121 Shrestha Dr , Bay City MI 48706. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Great Lakes Pain Consult Pllc can be contacted via phone (989) 686-6900, or through Grover, Theron Hugh via phone (989) 686-6911.

Contact Information

Primary practice address
4121 Shrestha Dr Bay City MI 48706
Phone: (989) 686-6900
Fax: (989) 686-6911
Website:
Map and Directions
Authorized official contact:
Name: Grover, Theron Hugh Doctor of Medicine (MD)
Phone: (989) 686-6911

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1255370094
LBN Legal business name Great Lakes Pain Consult Pllc
DBA Doing business as
Authorized official Grover, Theron Hugh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 19th, 2014 - about 10 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 1255370094 NPPES
Michigan Other 050Z901090 BLUE CROSS BLUE SHIELD

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