Hand Surgery Center Of Southwest Mi
LBN: Larry R Walton
Hand Surgery Center Of Southwest Mi is an health care organization with primary practice located at 1220 West Milham Ave , Portage MI 49024-1206. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Suppliers / Prosthetic/Orthotic Supplier. Allopathic & Osteopathic Physicians / Hand Surgery is the primary health care specialty.
Larry R Walton can be contacted via phone (269) 382-9900, or through Walton, Larry Raymond via phone (269) 382-9900.
Contact Information
Primary practice address
1220 West Milham Ave
Portage MI 49024-1206
Phone: (269) 382-9900
Fax: (269) 382-0700
Website:
Authorized official contact:
Name: Walton, Larry Raymond Doctor of Medicine (MD)
Phone: (269) 382-9900
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 039773 | Michigan |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 039773 | Michigan |
Profile Details
| NPI number | 1790989549 |
|---|---|
| LBN Legal business name | Larry R Walton |
| DBA Doing business as | Hand Surgery Center Of Southwest Mi |
| Authorized official | Walton, Larry Raymond Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Aug 19th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790989549 | NPPES |
| Michigan | Other | 039279 | BCBS |
| Michigan | MEDICAID | 4079644 | BCBS |
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