Lakeshore Urology Plc

LBN: Lakeshore Urology Plc
Lakeshore Urology Plc is an health care organization with primary practice located at 1445 Sheldon Rd Suite 102, Grand Haven MI 49417-2480. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Lakeshore Urology Plc can be contacted via phone (616) 604-8363, or through Fleming, Caleb J via phone (616) 604-8363.

Contact Information

Primary practice address
1445 Sheldon Rd Suite 102 Grand Haven MI 49417-2480
Phone: (616) 604-8363
Fax: (616) 604-8364
Website:
Map and Directions
Authorized official contact:
Name: Fleming, Caleb J Doctor of Medicine (MD)
Phone: (616) 604-8363

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301048869 Michigan

Profile Details

NPI number 1275872509
LBN Legal business name Lakeshore Urology Plc
DBA Doing business as
Authorized official Fleming, Caleb J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2013
Last updated Feb 15th, 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 1275872509 NPPES
Michigan MEDICAID 101995044

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