Lake Mi Ent Pllc

LBN: Lake Mi Ent Pllc
Lake Mi Ent Pllc is an health care organization with primary practice located at 1675 Leahy St Ste 201A , Muskegon MI 49442-5542. The organization recently has only one registered license in Suppliers / Hearing Aid Equipment, which is considered as the primary health care specialty. Lake Mi Ent Pllc can be contacted via phone (231) 722-4904, or through Radtke, Linda via phone (231) 722-4904.

Contact Information

Primary practice address
1675 Leahy St Ste 201A Muskegon MI 49442-5542
Phone: (231) 722-4904
Fax: (231) 722-4804
Website:
Map and Directions
Authorized official contact:
Name: Radtke, Linda
Phone: (231) 722-4904

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Hearing Aid Equipment 332S00000X

Profile Details

NPI number 1457527723
LBN Legal business name Lake Mi Ent Pllc
DBA Doing business as
Authorized official Radtke, Linda
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 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 1457527723 NPPES
Michigan MEDICAID 904711539

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