Physician Support Service, Inc.

LBN: Physician Support Service, Inc.
Physician Support Service, Inc. is an health care organization with primary practice located at 11615 Hartel Rd Suite 206, Grand Ledge MI 48837-9165. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Physician Support Service, Inc. can be contacted via phone (517) 627-2181, or through Smith, David J via phone (517) 627-2181.

Contact Information

Primary practice address
11615 Hartel Rd Suite 206 Grand Ledge MI 48837-9165
Phone: (517) 627-2181
Fax: (517) 622-1242
Website:
Map and Directions
Authorized official contact:
Name: Smith, David J Doctor of Medicine (MD)
Phone: (517) 627-2181

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 4301030055 Michigan

Profile Details

NPI number 1043501935
LBN Legal business name Physician Support Service, Inc.
DBA Doing business as
Authorized official Smith, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2011
Last updated Apr 26th, 2011 - about 13 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 1043501935 NPPES
Michigan Other 0802363691 BCBSM PIN

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