Advanced Medical Group
LBN: Advanced Medical Group
Advanced Medical Group is an health care organization with primary practice located at 3360 Prospect St , Hudsonville MI 49426-1420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Advanced Medical Group can be contacted via phone (616) 669-6702, or through Eovaldi, Benjamin via phone (616) 669-6702.
Contact Information
Primary practice address
3360 Prospect St
Hudsonville MI 49426-1420
Phone: (616) 669-6702
Fax: (616) 797-4025
Website:
Authorized official contact:
Name: Eovaldi, Benjamin Doctor of Osteopathy (DO)
Phone: (616) 669-6702
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1932741907 |
|---|---|
| LBN Legal business name | Advanced Medical Group |
| DBA Doing business as | |
| Authorized official | Eovaldi, Benjamin Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2019 |
| Last updated | Feb 3rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932741907 | NPPES |
| Other | 5315213606 | MI CONTROLLED SUBSTANCE | |
| Other | 5101019505 | MI CONTROLLED SUBSTANCE | |
| Other | 1902155690 | MI CONTROLLED SUBSTANCE | |
| Other | 14554401 | MI CONTROLLED SUBSTANCE |
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