Rising Star Wellness Center Plc

LBN: Rising Star Wellness Center Plc
Rising Star Wellness Center Plc is an health care organization with primary practice located at 3189 Logan Valley Rd , Traverse City MI 49684-4772. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rising Star Wellness Center Plc can be contacted via phone (231) 932-1988, or through Biancalana, Flora Ermenia via phone (231) 932-1988.

Contact Information

Primary practice address
3189 Logan Valley Rd Traverse City MI 49684-4772
Phone: (231) 932-1988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Biancalana, Flora Ermenia Doctor of Medicine (MD)
Phone: (231) 932-1988

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1215988845
LBN Legal business name Rising Star Wellness Center Plc
DBA Doing business as
Authorized official Biancalana, Flora Ermenia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 14th, 2013 - about 12 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 1215988845 NPPES
Michigan MEDICAID 4291443 10

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