Id Care Pc

LBN: Id Care Pc
Id Care Pc is an health care organization with primary practice located at 1808 S Pennsylvania Ave Suite E, Lansing MI 48910-1897. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Id Care Pc can be contacted via phone (517) 371-1500, or through Vangala, Kalyani via phone (517) 364-5590.

Contact Information

Primary practice address
1808 S Pennsylvania Ave Suite E Lansing MI 48910-1897
Phone: (517) 371-1500
Fax: (517) 371-1501
Website:
Map and Directions
Authorized official contact:
Name: Vangala, Kalyani Doctor of Medicine (MD)
Phone: (517) 364-5590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1669656112
LBN Legal business name Id Care Pc
DBA Doing business as
Authorized official Vangala, Kalyani Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Sep 11th, 2008 - about 17 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 1669656112 NPPES
Other 110C315710 BCBSM

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