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PEDIATRIC & ADOLESCENT HEALTHCARE ASSOCIATES PC NPI 1346428315


NPI Information

NPI: 1346428315
Provider Name: PEDIATRIC & ADOLESCENT HEALTHCARE ASSOCIATES, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1414 W FAIR AVE
SUITE 226
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-3925
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PEDIATRIC & ADOLESCENT HEALTHCARE ASSOCIATES, PC is a specialist in Marquette, 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. PEDIATRIC & ADOLESCENT HEALTHCARE ASSOCIATES, PC NPI is 1346428315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1414 W FAIR AVE
SUITE 226
MARQUETTE, MI
ZIP 49855-675
Phone: (906) 225-3925
Fax: (906) 225-4838

The provider's authorized official is Michael Nidiffer .
The authorized official title is Owner and has the following contact phone number (906) 225-3925.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/1/2008.


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
1174400000XSpecialist030113MICHIGANYes

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
1A77491MEDICARE UPIN
23108394MEDICAIDMICHIGAN

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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