Sylvan Lake Family Practice Plc

LBN: Sylvan Lake Family Practice Plc
Sylvan Lake Family Practice Plc is an health care organization with primary practice located at 2111 Orchard Lake Rd , Sylvan Lake MI 48320-1785. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sylvan Lake Family Practice Plc can be contacted via phone (248) 451-1092, or through Sanghvi, Prakash via phone (248) 451-1092.

Contact Information

Primary practice address
2111 Orchard Lake Rd Sylvan Lake MI 48320-1785
Phone: (248) 451-1092
Fax: (248) 451-1096
Website:
Map and Directions
Authorized official contact:
Name: Sanghvi, Prakash Doctor of Medicine (MD)
Phone: (248) 451-1092

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PS066270 Michigan

Profile Details

NPI number 1699880989
LBN Legal business name Sylvan Lake Family Practice Plc
DBA Doing business as Sylvan Lake Family Practice Plc
Authorized official Sanghvi, Prakash Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jun 8th, 2021 - about 3 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 1699880989 NPPES
Michigan Other 1730136961 ID NPI
Michigan MEDICAID 4743597 ID NPI
Michigan Other G73042 ID NPI
Michigan Other 0806348761 ID NPI

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