Gynecologic Oncology Of West Michigan, Pllc

LBN: Gynecologic Oncology Of West Michigan, Pllc
Gynecologic Oncology Of West Michigan, Pllc is an health care organization with primary practice located at 1000 E Paris Ave Se Suite 242, Grand Rapids MI 49546-3691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as the primary health care specialty. Gynecologic Oncology Of West Michigan, Pllc can be contacted via phone (616) 957-3398, or through Downey, Kristi Knox via phone (616) 957-3539.

Contact Information

Primary practice address
1000 E Paris Ave Se Suite 242 Grand Rapids MI 49546-3691
Phone: (616) 957-3398
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Downey, Kristi Knox
Phone: (616) 957-3539

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X

Profile Details

NPI number 1720292303
LBN Legal business name Gynecologic Oncology Of West Michigan, Pllc
DBA Doing business as
Authorized official Downey, Kristi Knox
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated May 30th, 2013 - about 11 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 1720292303 NPPES
Other 0P51370001 MEDICARE PTAN
Other CK3413 MEDICARE PTAN

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