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:
Map and Directions
Authorized official contact:
Name: Jamula, Jennifer L
Phone: (616) 458-1722

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477516110 NPPES
Other 020D176760 BLUE CROSS BLUE SHIELD

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