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WEST BRANCH PEDIATRICS NPI 1255306114


NPI Information

NPI: 1255306114
Provider Name: WEST BRANCH PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
337 EAST HOUGHTON AVE
WEST BRANCH, MI
ZIP 48661
Phone: (989) 343-9466
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WEST BRANCH PEDIATRICS is a pediatrics in West Branch, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WEST BRANCH PEDIATRICS NPI is 1255306114. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

337 EAST HOUGHTON AVE
WEST BRANCH, MI
ZIP 48661
Phone: (989) 343-9466
Fax: (989) 343-9443

The provider's authorized official is Johnie C Baker .
The authorized official title is Owner and has the following contact phone number (989) 343-9466.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/22/2020.


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
1208000000XPediatrics4301085011MICHIGANNo
2208000000XPediatrics4301085012MICHIGANYes

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
14721025MEDICAIDMICHIGAN
24735460MEDICAIDMICHIGAN

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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