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SHORELINE REHAB PLC NPI 1548452659


NPI Information

NPI: 1548452659
Provider Name: SHORELINE REHAB PLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9219 WATER ST
MONTAGUE, MI
ZIP 49437
Phone: (231) 893-6655
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SHORELINE REHAB PLC is a specialist in Montague, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SHORELINE REHAB PLC NPI is 1548452659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9219 WATER ST
MONTAGUE, MI
ZIP 49437-206
Phone: (231) 893-6655
Fax: (231) 893-4902

The provider's authorized official is Barbara Jean Brown .
The authorized official title is Member/owner and has the following contact phone number (231) 893-6655.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 5/21/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist5501008363MICHIGANYes

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
11908559MEDICAIDMICHIGAN
20P28020001MEDICARE PINMICHIGAN
3650F157050OTHERMICHIGANBLUE CROSS BLUE SHIELD
4DE3646OTHERMICHIGANRAILROAD MEDICARE GROUP
50P28020002MMEDICARE PINMICHIGAN
6650F157060MOTHERMICHIGANBLUE CROSS BLUE SHIELD
70P28020MEDICARE PINMICHIGAN
80P28020002MEDICARE PINMICHIGAN

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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