Pediatric Surgeons Of West Michigan Pc
LBN: Pediatric Surgeons Of West Michigan Pc
Pediatric Surgeons Of West Michigan Pc is an health care organization with primary practice located at 330 Barclay Ne Suite 202, Grand Rapids MI 49503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Pediatric Surgeons Of West Michigan Pc can be contacted via phone (616) 458-1722, or through Jamula, Jennifer L via phone (616) 458-1722.
Contact Information
Primary practice address
330 Barclay Ne Suite 202
Grand Rapids MI 49503
Phone: (616) 458-1722
Fax: (616) 458-0061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1477516110 |
|---|---|
| LBN Legal business name | Pediatric Surgeons Of West Michigan Pc |
| DBA Doing business as | |
| Authorized official | Jamula, Jennifer L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Mar 8th, 2017 - about 7 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 | 1477516110 | NPPES |
| Other | 020D176760 | BLUE CROSS BLUE SHIELD |
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