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GRAND RAPIDS ALLERGY PLC NPI 1417001892


NPI Information

NPI: 1417001892
Provider Name: GRAND RAPIDS ALLERGY PLC

Former Legal Business Name: GRAND RAPIDS ALLERGY PC

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
970 PARCHMENT DRIVE SE
SUITE 203
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 949-4840
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GRAND RAPIDS ALLERGY PLC is an allergy immunology in Grand Rapids, MI. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. GRAND RAPIDS ALLERGY PLC NPI is 1417001892. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Grand Rapids Allergy Pc.

The provider's business location address is:

970 PARCHMENT DRIVE SE
SUITE 203
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 949-4840
Fax: (616) 949-3531

The provider's authorized official is Karyn E. Gell .
The authorized official title is Partner and has the following contact phone number (616) 949-4840.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 12/31/2013.


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
1207K00000XAllergy & ImmunologyMICHIGANYes

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
1110D111480OTHERMICHIGANBCBS OF MI
2C0BOBOTHERBILLING LOCATION CODE
30M98890000MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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: 4/28/2024

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