Kevin J. Piebenga D.P.M. P.C.

LBN: Kevin J. Piebenga D.P.M. P.C.
Kevin J. Piebenga D.P.M. P.C. is an health care organization with primary practice located at 3330 Central Boulevard , Hudsonville MI 49426-4114. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Kevin J. Piebenga D.P.M. P.C. can be contacted via phone (616) 669-7525, or through Piebenga, Kevin via phone 61666697525.

Contact Information

Primary practice address
3330 Central Boulevard Hudsonville MI 49426-4114
Fax: (616) 669-9952
Website:
Authorized official contact:
Name: Piebenga, Kevin

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X

Profile Details

NPI number 1215293550
LBN Legal business name Kevin J. Piebenga D.P.M. P.C.
DBA Doing business as
Authorized official Piebenga, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2012
Last updated Apr 11th, 2012 - 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 1215293550 NPPES
Michigan MEDICAID 2693413

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