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WEST BRANCH NERUOLOGY NPI 1164619763


NPI Information

NPI: 1164619763
Provider Name: WEST BRANCH NERUOLOGY
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
335 E HOUGHTON AVE
WEST BRANCH, MI
ZIP 48661
Phone: (989) 345-4343
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WEST BRANCH NERUOLOGY is a neurology psychiatry neurology in West Branch, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. WEST BRANCH NERUOLOGY NPI is 1164619763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

335 E HOUGHTON AVE
WEST BRANCH, MI
ZIP 48661-127
Phone: (989) 345-4343
Fax: (989) 345-4344

The provider's authorized official is Toni Lewis .
The authorized official title is Office Manager and has the following contact phone number (989) 345-4343.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.


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
12084N0400XPsychiatry & NeurologyNeurologyDP009646MICHIGANYes

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
1OP03260001OTHERMICHIGANMEDICARE PLUS BLUE
21356510065OTHERMICHIGANBLUE CROSS BLUE SHIELD
3E87926MEDICARE UPINMICHIGAN
41012243OTHERHEALTH ADVANTAGE
5P00203101OTHERMEDICARE RAILROAD

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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