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FAMILY PRACTICE IN THE WOODS PC NPI 1295791630


NPI Information

NPI: 1295791630
Provider Name: FAMILY PRACTICE IN THE WOODS PC

Other Name: ADVANCED LASER COSMETICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
120 WAUKAZOO DR
HOLLAND, MI
ZIP 49424
Phone: (616) 399-9680
Get Directions

FAMILY PRACTICE IN THE WOODS PC is a family medicine in Holland, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PRACTICE IN THE WOODS PC NPI is 1295791630. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Advanced Laser Cosmetics.

The provider's business location address is:

120 WAUKAZOO DR
HOLLAND, MI
ZIP 49424-556
Phone: (616) 399-9680

The provider's authorized official is Lowell Lamar Styer .
The authorized official title is Owner and has the following contact phone number (616) 399-9680.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 11/23/2007.


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
1363L00000XNurse Practitioner4704185046MICHIGANNo
2207Q00000XFamily Medicine4301048380MICHIGANYes

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
1A77771MEDICARE UPINMICHIGAN
208007375MEDICARE ID-TYPE UNSPECIFIEDMICHIGANDR. STYER'S RAILROAD MEDI
30807015771OTHERMICHIGANDR. STYER'S BCBS NUMBER
44796877MEDICAIDMICHIGAN
50P20340MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE GROUP NUMBER
61749990MEDICAIDMICHIGAN
7P20340001MEDICARE ID-TYPE UNSPECIFIEDMICHIGANDR. STYER'S MEDICARE NUMB
85008755300OTHERMICHIGANAMY ROBBINS' BCBS NUMBER
9Q49392MEDICARE UPINMICHIGAN
10P20340002MEDICARE ID-TYPE UNSPECIFIEDMICHIGANAMY ROBBINS' MEDICARE NUM

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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