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SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C NPI 1619674512


NPI Information

NPI: 1619674512
Provider Name: SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
370 N 120TH AVE
HOLLAND, MI
ZIP 49424
Phone: (616) 396-5855
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SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C 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 P L C NPI is 1619674512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

370 N 120TH AVE
HOLLAND, MI
ZIP 49424-120
Phone: (616) 396-5855
Fax: (877) 592-0688

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

The enumeration date for this NPI number is 2/10/2023 and was last updated on 2/10/2023.


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
1207X00000XOrthopaedic 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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