Standale Family Physicians

LBN: Lewis & Mccorry Pc
Standale Family Physicians is an health care organization with primary practice located at 3863 Lake Michigan Dr Nw , Grand Rapids MI 49534-4520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lewis & Mccorry Pc can be contacted via phone (616) 453-2429, or through Lewis, Leonard A via phone (616) 453-2429.

Contact Information

Primary practice address
3863 Lake Michigan Dr Nw Grand Rapids MI 49534-4520
Phone: (616) 453-2429
Fax: (616) 453-8340
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Leonard A Doctor of Osteopathy (DO)
Phone: (616) 453-2429

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1659408029
LBN Legal business name Lewis & Mccorry Pc
DBA Doing business as Standale Family Physicians
Authorized official Lewis, Leonard A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 28th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659408029 NPPES
Michigan MEDICAID 2675738
Michigan MEDICAID 2675756

Popular Providers