Med Sports Vantage Pllc

LBN: Med Sports Vantage Pllc
Med Sports Vantage Pllc is an health care organization with primary practice located at 210 S East St Ste 2 , Brighton MI 48116-1592. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Med Sports Vantage Pllc can be contacted via phone (810) 626-3036, or through Lethorn, Rachel via phone (810) 626-3036.

Contact Information

Primary practice address
210 S East St Ste 2 Brighton MI 48116-1592
Phone: (810) 626-3036
Fax: (810) 202-1130
Website:
Map and Directions
Authorized official contact:
Name: Lethorn, Rachel Physician's Assistant Certified (PA-C)
Phone: (810) 626-3036

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 5601003608 Michigan
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 5601003608 Michigan
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003608 Michigan

Profile Details

NPI number 1326587114
LBN Legal business name Med Sports Vantage Pllc
DBA Doing business as Med Sports Vantage Pllc
Authorized official Lethorn, Rachel Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2017
Last updated Mar 25th, 2023 - about last year

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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