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MUSKEGON PEDIATRICS PLC NPI 1891321352


NPI Information

NPI: 1891321352
Provider Name: MUSKEGON PEDIATRICS, PLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2250528

Address:
888 TERRACE ST
MUSKEGON, MI
ZIP 49440
Phone: (517) 294-8741
Get Directions

MUSKEGON 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. MUSKEGON PEDIATRICS, PLC NPI is 1891321352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

888 TERRACE ST
MUSKEGON, MI
ZIP 49440-220
Phone: (517) 294-8741

The provider's authorized official is Jennifer Marie King .
The authorized official title is Owner, Physician and has the following contact phone number (517) 294-8741.

The CLIA number assigned to this NPI record is 23D2250528 - other - county jail medical with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2020 and was last updated on 3/17/2020.


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
1208000000XPediatricsYes

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
15315053660OTHERMICHIGANSTATE LICENSE
21558591073OTHERMICHIGANNPI
3802429468OTHERMICHIGANCORPORATION LICENSING

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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