640Rx Plc

LBN: 640Rx Plc
640Rx Plc is an health care organization with primary practice located at 400 N 3Rd Ave , Fruitport MI 49415-9774. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Mechanotherapist is the primary health care specialty. 640Rx Plc can be contacted via phone (231) 747-9163, or through Gregg-Duchemin, Jody Lynn via phone (231) 747-9163.

Contact Information

Primary practice address
400 N 3Rd Ave Fruitport MI 49415-9774
Phone: (231) 747-9163
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gregg-Duchemin, Jody Lynn LMT
Phone: (231) 747-9163

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1326506742
LBN Legal business name 640Rx Plc
DBA Doing business as
Authorized official Gregg-Duchemin, Jody Lynn LMT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2019
Last updated Sep 21st, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326506742 NPPES
Michigan Other 7501000434 MASSAGE LICENSE

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