PHYSICIAN'S HOME NETWORK PLLC NPI 1386971711

NPI Information

NPI: 1386971711
Provider Name: PHYSICIAN'S HOME NETWORK, PLLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
3033 ORCHARD VISTA DR SE
SUITE 309
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 608-7403
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PHYSICIAN'S HOME NETWORK, PLLC is an adult medicine family medicine in Grand Rapids, MI. The provider is definition to come. PHYSICIAN'S HOME NETWORK, PLLC NPI is 1386971711. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3033 ORCHARD VISTA DR SE
SUITE 309
GRAND RAPIDS, MI
ZIP 49546-077
Phone: (616) 608-7403
Fax: (616) 608-7408

The provider's authorized official is Kurtis Smitko .
The authorized official title is Ceo and has the following contact phone number (616) 608-7403.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 11/5/2009.

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	Primary
1	363A00000X	Physician Assistant		No
2	363LA2200X	Nurse Practitioner	Adult Health	No
3	207QA0505X	Family Medicine	Adult Medicine	Yes

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: 11/14/2023

NPI Synchronization or Removal

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