Russell Van Houzen, Md, Plc

LBN: Russell Van Houzen, Md, Plc
Russell Van Houzen, Md, Plc is an health care organization with primary practice located at 10161 E Pickwick Ct Suite E, Traverse City MI 49684-5239. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Russell Van Houzen, Md, Plc can be contacted via phone (231) 935-0888, or through Van Houzen, Russell Neil via phone (231) 935-0888.

Contact Information

Primary practice address
10161 E Pickwick Ct Suite E Traverse City MI 49684-5239
Phone: (231) 935-0888
Fax: (231) 935-0890
Website:
Map and Directions
Authorized official contact:
Name: Van Houzen, Russell Neil Doctor of Medicine (MD)
Phone: (231) 935-0888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301035319 Michigan

Profile Details

NPI number 1447460852
LBN Legal business name Russell Van Houzen, Md, Plc
DBA Doing business as
Authorized official Van Houzen, Russell Neil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1447460852 NPPES
Michigan MEDICAID 1096875

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