Great Lakes Allergy And Asthma Center, P.C.
LBN: Great Lakes Allergy And Asthma Center, P.C.
Great Lakes Allergy And Asthma Center, P.C. is an health care organization with primary practice located at 309 W 12Th Ave Suite 101, Sault Sainte Marie MI 49783-2885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty.
Great Lakes Allergy And Asthma Center, P.C. can be contacted via phone (906) 253-0400, or through Ranta, Peter Mike via phone (906) 253-0400.
Contact Information
Primary practice address
309 W 12Th Ave Suite 101
Sault Sainte Marie MI 49783-2885
Phone: (906) 253-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 4301082835 | Michigan |
Profile Details
| NPI number | 1912189457 |
|---|---|
| LBN Legal business name | Great Lakes Allergy And Asthma Center, P.C. |
| DBA Doing business as | |
| Authorized official | Ranta, Peter Mike Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Feb 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912189457 | NPPES |
| Michigan | MEDICAID | 4609268 |
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