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E. A. AUSTIN DO PC NPI 1003268202


NPI Information

NPI: 1003268202
Provider Name: E. A. AUSTIN DO PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
110 S MADISON ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 946-0911
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E. A. AUSTIN DO PC is a neurology psychiatry neurology in Traverse City, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. E. A. AUSTIN DO PC NPI is 1003268202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 S MADISON ST
TRAVERSE CITY, MI
ZIP 49684-340
Phone: (231) 946-0911
Fax: (231) 935-0343

The provider's authorized official is Cynthia Jean Conquest .
The authorized official title is Practice Manager and has the following contact phone number (231) 935-0340.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 7/12/2016.


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
12084N0400XPsychiatry & NeurologyNeurology5101017642MICHIGANYes

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
1C36078043MEDICARE PINMICHIGAN
21477715076MEDICAIDMICHIGAN

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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