Blue Water Medical Pllc

LBN: Blue Water Medical Pllc
Blue Water Medical Pllc is an health care organization with primary practice located at 511 Fort St Suite 102, Port Huron MI 48060-3922. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Blue Water Medical Pllc can be contacted via phone (810) 479-4769, or through Free, Marcus K. via phone (810) 479-4769.

Contact Information

Primary practice address
511 Fort St Suite 102 Port Huron MI 48060-3922
Phone: (810) 479-4769
Fax: (888) 414-4545
Website:
Map and Directions
Authorized official contact:
Name: Free, Marcus K. Doctor of Medicine (MD)
Phone: (810) 479-4769

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 4301093347 Michigan

Profile Details

NPI number 1336409192
LBN Legal business name Blue Water Medical Pllc
DBA Doing business as
Authorized official Free, Marcus K. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2012
Last updated May 25th, 2012 - about 14 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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