VILLAGE FAMILY PRACTICE PLC NPI 1972797652

NPI Information

NPI: 1972797652
Provider Name: VILLAGE FAMILY PRACTICE PLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
810 COTTAGEVIEW DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-0708
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VILLAGE FAMILY PRACTICE PLC is a general practice in Traverse City, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee VILLAGE FAMILY PRACTICE PLC NPI is 1972797652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

810 COTTAGEVIEW DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-0708
Fax: (231) 935-0712

The provider's authorized official is Peggy Anderson .
The authorized official title is Owner and has the following contact phone number (231) 935-0708.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 12/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		5101009433	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4602721	MEDICAID	MICHIGAN
2	0N92970	MEDICARE PIN	MICHIGAN
3	E26470	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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