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EAST MICHIGAN FAMILY CARE PLC NPI 1124135116


NPI Information

NPI: 1124135116
Provider Name: EAST MICHIGAN FAMILY CARE PLC

Doing Business As: EAST MICHIGAN FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4415 N GRAND RIVER AVE
LANSING, MI
ZIP 48906
Phone: (517) 323-3646
Get Directions

EAST MICHIGAN FAMILY CARE PLC is a family medicine in Lansing, 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. EAST MICHIGAN FAMILY CARE PLC NPI is 1124135116. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Michigan Family Care.

The provider's business location address is:

4415 N GRAND RIVER AVE
LANSING, MI
ZIP 48906-614
Phone: (517) 323-3646
Fax: (517) 323-3648

The provider's authorized official is Shannon G Wiggins .
The authorized official title is Owner and has the following contact phone number (517) 323-3646.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 4/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101013727MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15101013727OTHERMICHIGANDR WIGGINS LICENSE #
21295744530OTHERMICHIGANDR WIGGINS NPI#
30853310215OTHERMICHIGANBCN
40N8859001MEDICARE PINMICHIGAN
50853310215OTHERMICHIGANBCBS
60N88590MEDICARE PINMICHIGAN
7H36661MEDICARE UPINMICHIGAN
84924592MEDICAIDMICHIGAN

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: 11/14/2023

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