GEORGE E. DRAKE M.D. P.C. NPI 1013114552

NPI Information

NPI: 1013114552
Provider Name: GEORGE E. DRAKE, M.D., P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1 S 5TH ST
NILES, MI
ZIP 49120
Phone: (269) 687-9607
Get Directions

GEORGE E. DRAKE, M.D., P.C. is a primary care clinic center in Niles, MI. GEORGE E. DRAKE, M.D., P.C. NPI is 1013114552. The provider is registered as an organization entity type.

The provider's business location address is:

1 S 5TH ST
NILES, MI
ZIP 49120-710
Phone: (269) 687-9607

The provider's authorized official is George Erving Drake .
The authorized official title is PRESIDENT OWNEROwner and has the following contact phone number (269) 687-9607.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 8/22/2020.

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	261QP2300X	Clinic/Center	Primary Care	4301034140	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	Other Provider Identifier Issuer
1	4731175	MEDICAID	MICHIGAN
2	P00218423	OTHER	MICHIGAN	RR MEDICARE
3	0801110581	OTHER	MICHIGAN	BCBS

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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