Great Lakes Physical Therapy-North Muskegon, Llc

LBN: Great Lakes Physical Therapy-North Muskegon, Llc
Great Lakes Physical Therapy-North Muskegon, Llc is an health care organization with primary practice located at 2045 Holton Rd , North Muskegon MI 49445-1535. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Great Lakes Physical Therapy-North Muskegon, Llc can be contacted via phone (231) 744-0077, or through Eaton, Jeffrey A via phone (231) 744-0077.

Contact Information

Primary practice address
2045 Holton Rd North Muskegon MI 49445-1535
Phone: (231) 744-0077
Fax: (231) 744-0030
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Jeffrey A MS, PT, FAFS
Phone: (231) 744-0077

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501011276 Michigan

Profile Details

NPI number 1265774368
LBN Legal business name Great Lakes Physical Therapy-North Muskegon, Llc
DBA Doing business as
Authorized official Eaton, Jeffrey A MS, PT, FAFS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2013
Last updated Mar 27th, 2013 - about 13 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 1265774368 NPPES
Michigan Other 30609 BCBS
Michigan MEDICAID 4717630 BCBS

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