Fenton Clinic

LBN: Fenton Clinic
Fenton Clinic is an health care organization with primary practice located at 201 E Caroline St 129, Fenton MI 48430-2105. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Fenton Clinic can be contacted via phone (810) 629-4187, or through Trollman, Joseph Lavern via phone (810) 629-4187.

Contact Information

Primary practice address
201 E Caroline St 129 Fenton MI 48430-2105
Phone: (810) 629-4187
Fax: (810) 629-9662
Website:
Map and Directions
Authorized official contact:
Name: Trollman, Joseph Lavern Doctor of Osteopathy (DO)
Phone: (810) 629-4187

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 51010055954 Michigan

Profile Details

NPI number 1699949610
LBN Legal business name Fenton Clinic
DBA Doing business as
Authorized official Trollman, Joseph Lavern Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 18 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 1699949610 NPPES
Michigan Other 0152524585 MR BC PPOM
Michigan MEDICAID 1001880 MR BC PPOM

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