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THE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN P.C. NPI 1154567279


NPI Information

NPI: 1154567279
Provider Name: THE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN, P.C.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
745 S GARFIELD AVE
SUITE C
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 932-1250
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THE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN, P.C. is a medical specialty clinic center in Traverse City, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). THE BEHAVIORAL MEDICINE CLINIC OF NORTHWEST MICHIGAN, P.C. NPI is 1154567279. The provider is registered as an organization entity type.

The provider's business location address is:

745 S GARFIELD AVE
SUITE C
TRAVERSE CITY, MI
ZIP 49686-479
Phone: (231) 932-1250
Fax: (231) 932-1266

The provider's authorized official is Terry M. Dickson .
The authorized official title is President and has the following contact phone number (231) 932-1250.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 8/27/2013.


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
1261QM2500XClinic/CenterMedical Specialty4301062201MICHIGANYes

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

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