SHORELINE PEDIATRICS PLC NPI 1609874643

NPI Information

  • NPI: 1609874643
  • Provider Name: SHORELINE PEDIATRICS PLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 23D0379768
  • Address: 684 HARVEY ST
    SUITE 201
    MUSKEGON, MI
    ZIP 49442
  • Phone: (231) 773-7837

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NPI Details

SHORELINE PEDIATRICS PLC is a pediatrics in Muskegon, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SHORELINE PEDIATRICS PLC NPI is 1609874643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

684 HARVEY ST
SUITE 201
MUSKEGON, MI
ZIP 49442-274
Phone: (231) 773-7837
Fax: (231) 773-7943

The provider's authorized official is Leanne Kolenda .
The authorized official title is Practice Manager and has the following contact phone number (231) 773-7837.

The CLIA number assigned to this NPI record is 23D0379768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 4/14/2023.

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
1208000000XPediatricsMICHIGANYes

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
1500F113130OTHERMICHIGANBCBS MICHIGAN

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: 3/30/2025

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