Great Lakes Practitioners Llc

LBN: Great Lakes Practitioners Llc
Great Lakes Practitioners Llc is an health care organization with primary practice located at 6681 Ridge Rd Ste 300 , Parma OH 44129-5705. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Great Lakes Practitioners Llc can be contacted via phone (440) 842-8675, or through Saghafi, Kourosh via phone (440) 842-8675.

Contact Information

Primary practice address
6681 Ridge Rd Ste 300 Parma OH 44129-5705
Phone: (440) 842-8675
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Saghafi, Kourosh Doctor of Osteopathy (DO)
Phone: (440) 842-8675

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4184295 Ohio

Profile Details

NPI number 1689166860
LBN Legal business name Great Lakes Practitioners Llc
DBA Doing business as
Authorized official Saghafi, Kourosh Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2018
Last updated Mar 13th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689166860 NPPES
Other 4184295 OHIO BUSINESS LICENSE

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