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GENESEE FAMILY CARE PC NPI 1538222823


NPI Information

NPI: 1538222823
Provider Name: GENESEE FAMILY CARE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3020 SOUTH GENESEE RD
BURTON, MI
ZIP 48519
Phone: (810) 715-3049
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GENESEE FAMILY CARE PC is a family medicine in Burton, 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. GENESEE FAMILY CARE PC NPI is 1538222823. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3020 SOUTH GENESEE RD
BURTON, MI
ZIP 48519
Phone: (810) 715-3049
Fax: (810) 744-2850

The provider's authorized official is Jose B Lopez .
The authorized official title is Physician and has the following contact phone number (810) 715-3049.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 2/9/2010.


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
1207Q00000XFamily MedicineMO079826MICHIGANNo
2207Q00000XFamily MedicineJL047858MICHIGANYes

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
10P28190MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
22621432MEDICAIDMICHIGAN
3080B500140OTHERMICHIGANB CR

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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