Great Lakes Podiatry Pllc
LBN: Great Lakes Podiatry Pllc
Great Lakes Podiatry Pllc is an health care organization with primary practice located at 126 S 25Th St Ste A , Escanaba MI 49829-1364. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Great Lakes Podiatry Pllc can be contacted via phone (906) 786-2385, or through Leveille, Dennis W via phone (906) 786-2385.
Contact Information
Primary practice address
126 S 25Th St Ste A
Escanaba MI 49829-1364
Phone: (906) 786-2385
Fax: (906) 563-2029
Website:
Authorized official contact:
Name: Leveille, Dennis W Doctor of Podiatric Medicine (DPM)
Phone: (906) 786-2385
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 5901001228 | Michigan |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 5901001228 | Michigan |
Profile Details
| NPI number | 1043728553 |
|---|---|
| LBN Legal business name | Great Lakes Podiatry Pllc |
| DBA Doing business as | |
| Authorized official | Leveille, Dennis W Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2018 |
| Last updated | Jan 18th, 2018 - about 6 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 | 1043728553 | NPPES |
| Michigan | MEDICAID | 1982696209 | |
| Michigan | MEDICAID | 1225079932 |
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