Natural Image Boutique

LBN: Natural Image Boutique
Natural Image Boutique is an health care organization with primary practice located at 1414 W Fair Ave Suite 50 A, Marquette MI 49855-2675. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Natural Image Boutique can be contacted via phone (906) 225-7978, or through Tabor, Sharon L via phone (906) 225-7978.

Contact Information

Primary practice address
1414 W Fair Ave Suite 50 A Marquette MI 49855-2675
Phone: (906) 225-7978
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tabor, Sharon L CFO
Phone: (906) 225-7978

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1568616225
LBN Legal business name Natural Image Boutique
DBA Doing business as
Authorized official Tabor, Sharon L CFO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2008
Last updated Nov 7th, 2008 - about 16 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 1568616225 NPPES
Michigan Other 540E210750 BLUE CROSS BLUE SHIELD

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