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SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINICPLC NPI 1275579765


NPI Information

NPI: 1275579765
Provider Name: SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC,PLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 23D1023767

Address:
370 120TH AVE
HOLLAND, MI
ZIP 49424
Phone: (616) 396-5855
Get Directions

SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC,PLC is an orthopaedic surgery in Holland, MI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC,PLC NPI is 1275579765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

370 120TH AVE
HOLLAND, MI
ZIP 49424-196
Phone: (616) 396-5855
Fax: (616) 396-5720

The provider's authorized official is Tricia Schildhouse .
The authorized official title is Practice Manager and has the following contact phone number (616) 396-5855.

The CLIA number assigned to this NPI record is 23D1023767 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 12/4/2023.


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
1207XS0106XOrthopaedic SurgeryHand SurgeryMICHIGANNo
2332900000XNon-Pharmacy Dispensing SiteNo
3207X00000XOrthopaedic SurgeryYes

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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