Northern Michigan Neurology, P.L.C.

LBN: Northern Michigan Neurology, P.L.C.
Northern Michigan Neurology, P.L.C. is an health care organization with primary practice located at 18688 Bender Trl , Lake Ann MI 49650-9434. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Northern Michigan Neurology, P.L.C. can be contacted via phone (231) 499-1037, or through Evans, Bradley K. via phone (231) 935-0340.

Contact Information

Primary practice address
18688 Bender Trl Lake Ann MI 49650-9434
Phone: (231) 499-1037
Fax: (231) 935-0434
Website:
Map and Directions
Authorized official contact:
Name: Evans, Bradley K. Doctor of Medicine (MD)
Phone: (231) 935-0340

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X BE062479 Michigan

Profile Details

NPI number 1417988031
LBN Legal business name Northern Michigan Neurology, P.L.C.
DBA Doing business as
Authorized official Evans, Bradley K. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 20th, 2023 - about 2 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 1417988031 NPPES
Michigan MEDICAID 3067916

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