Lakeshore Allergy Pc

LBN: Lakeshore Allergy Pc
Lakeshore Allergy Pc is an health care organization with primary practice located at 3290 N Wellness Bldg D Ste 180, Holland MI 49424. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Lakeshore Allergy Pc can be contacted via phone (616) 738-4262, or through Hutson, Julie Ann via phone (616) 738-4262.

Contact Information

Primary practice address
3290 N Wellness Bldg D Ste 180 Holland MI 49424
Phone: (616) 738-4262
Fax: (616) 738-4266
Website:
Map and Directions
Authorized official contact:
Name: Hutson, Julie Ann Doctor of Medicine (MD)
Phone: (616) 738-4262

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 4301051148 Michigan

Profile Details

NPI number 1639108863
LBN Legal business name Lakeshore Allergy Pc
DBA Doing business as
Authorized official Hutson, Julie Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Feb 27th, 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 1639108863 NPPES
Other 0030084 BCBS
Other P105210 BCBS
MEDICAID 4604806 BCBS

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