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ELK RAPIDS WELLNESS PLLC NPI 1538894225


NPI Information

NPI: 1538894225
Provider Name: ELK RAPIDS WELLNESS PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2276223

Address:
9060 N BAYSHORE DR STE B
ELK RAPIDS, MI
ZIP 49629
Phone: (231) 498-4552
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ELK RAPIDS WELLNESS PLLC is a primary care clinic center in Elk Rapids, MI. ELK RAPIDS WELLNESS PLLC NPI is 1538894225. The provider is registered as an organization entity type.

The provider's business location address is:

9060 N BAYSHORE DR STE B
ELK RAPIDS, MI
ZIP 49629-436
Phone: (231) 498-4552

The provider's authorized official is Maureen Reynolds Street .
The authorized official title is Physician and has the following contact phone number (231) 944-9093.

The CLIA number assigned to this NPI record is 23D2276223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2022 and was last updated on 9/19/2022.


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
1261QP2300XClinic/CenterPrimary CareYes

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

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.