The Center For Plastic Surgery At Copper Ridge

LBN: The Center For Plastic Surgery Of Northern Michigan
The Center For Plastic Surgery At Copper Ridge is an health care organization with primary practice located at 4110 Copper Ridge Dr Suite 242, Traverse City MI 49684-6722. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. The Center For Plastic Surgery Of Northern Michigan can be contacted via phone (231) 929-7700, or through Jeffries, Christopher via phone (231) 929-7700.

Contact Information

Primary practice address
4110 Copper Ridge Dr Suite 242 Traverse City MI 49684-6722
Fax:
Website:
Authorized official contact:
Name: Jeffries, Christopher

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301054838 Michigan

Profile Details

NPI number 1356563654
LBN Legal business name The Center For Plastic Surgery Of Northern Michigan
DBA Doing business as The Center For Plastic Surgery At Copper Ridge
Authorized official Jeffries, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated May 13th, 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 1356563654 NPPES
Michigan Other 2402810801 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4859055 BLUE CROSS BLUE SHIELD
Michigan Other 2402810801 BLUE CROSS BLUE SHIELD

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