Thunder Bay Clinic Management Inc

LBN: Thunder Bay Clinic Management Inc
Thunder Bay Clinic Management Inc is an health care organization with primary practice located at 1065 Us 23 North , Alpena MI 49707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Thunder Bay Clinic Management Inc can be contacted via phone (989) 354-0607, or through Hardies, Jane E via phone (989) 354-0607.

Contact Information

Primary practice address
1065 Us 23 North Alpena MI 49707
Phone: (989) 354-0607
Fax: (989) 356-6710
Website:
Map and Directions
Authorized official contact:
Name: Hardies, Jane E
Phone: (989) 354-0607

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X BB012930 Michigan

Profile Details

NPI number 1790746964
LBN Legal business name Thunder Bay Clinic Management Inc
DBA Doing business as
Authorized official Hardies, Jane E
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Jun 25th, 2010 - about 14 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 1790746964 NPPES
Michigan MEDICAID 3438729

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