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VITALITY MED PLLC NPI 1043806730


NPI Information

NPI: 1043806730
Provider Name: VITALITY MED PLLC

Doing Business As: VITALITY MED LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2218920

Address:
1800 W CARO RD STE VI
CARO, MI
ZIP 48723
Phone: (989) 673-6144
Get Directions

VITALITY MED PLLC is a family medicine in Caro, 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. VITALITY MED PLLC NPI is 1043806730. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vitality Med Llc.

The provider's business location address is:

1800 W CARO RD STE VI
CARO, MI
ZIP 48723-209
Phone: (989) 673-6144
Fax: (989) 672-1800

The provider's authorized official is Megan Putman .
The authorized official title is Administrator and has the following contact phone number (989) 673-6144.

The CLIA number assigned to this NPI record is 23D2218920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2020 and was last updated on 10/10/2023.


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 MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.