C R Alderdice D O

LBN: C R Alderdice D O
C R Alderdice D O is an health care organization with primary practice located at 1906 Langley Ave , Saint Joseph MI 49085-1739. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. C R Alderdice D O can be contacted via phone (269) 982-1722, or through Alderdice, Charles via phone (269) 982-1722.

Contact Information

Primary practice address
1906 Langley Ave Saint Joseph MI 49085-1739
Phone: (269) 982-1722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alderdice, Charles Doctor of Osteopathy (DO)
Phone: (269) 982-1722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101008526 Michigan

Profile Details

NPI number 1972807147
LBN Legal business name C R Alderdice D O
DBA Doing business as
Authorized official Alderdice, Charles Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 15 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 1972807147 NPPES
Michigan MEDICAID 1607063
Michigan Other 5083312
Michigan Other 5110022
Michigan Other 5110022

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