Shining Shield Medical Group, Pc

LBN: Shining Shield Medical Group, Pc
Shining Shield Medical Group, Pc is an health care organization with primary practice located at 15140 16Th Ave , Marne MI 49435-9605. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Shining Shield Medical Group, Pc can be contacted via phone (269) 704-7563, or through Janas, Anthony via phone (269) 589-1056.

Contact Information

Primary practice address
15140 16Th Ave Marne MI 49435-9605
Phone: (269) 704-7563
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Janas, Anthony Doctor of Medicine (MD)
Phone: (269) 589-1056

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1649709502
LBN Legal business name Shining Shield Medical Group, Pc
DBA Doing business as
Authorized official Janas, Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2017
Last updated Jun 5th, 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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