Bald Mountain Behavioral Medicine

LBN: John Kitzmiller M.D. Pc
Bald Mountain Behavioral Medicine is an health care organization with primary practice located at 1375 S Lapeer Rd Suite 203, Lake Orion MI 48360-1421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. John Kitzmiller M.D. Pc can be contacted via phone (248) 693-4000, or through Kitzmiller, John William via phone (248) 693-4000.

Contact Information

Primary practice address
1375 S Lapeer Rd Suite 203 Lake Orion MI 48360-1421
Phone: (248) 693-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kitzmiller, John William Doctor of Medicine (MD)
Phone: (248) 693-4000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 430136695 Michigan

Profile Details

NPI number 1518393800
LBN Legal business name John Kitzmiller M.D. Pc
DBA Doing business as Bald Mountain Behavioral Medicine
Authorized official Kitzmiller, John William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2013
Last updated Sep 19th, 2013 - about 12 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 1518393800 NPPES
Michigan MEDICAID 101521316

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