12Th Street Internal Medicine And Pediatrics

LBN: 12Th Street Pllc
12Th Street Internal Medicine And Pediatrics is an health care organization with primary practice located at 3587 12Th St , Wayland MI 49348-9569. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. 12Th Street Pllc can be contacted via phone (616) 648-4933, or through Veldhouse, Joel via phone (616) 648-4933.

Contact Information

Primary practice address
3587 12Th St Wayland MI 49348-9569
Phone: (616) 648-4933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Veldhouse, Joel Doctor of Medicine (MD)
Phone: (616) 648-4933

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1790470409
LBN Legal business name 12Th Street Pllc
DBA Doing business as 12Th Street Internal Medicine And Pediatrics
Authorized official Veldhouse, Joel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2023
Last updated Aug 15th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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