Northshore Medical Clinic P C

LBN: Northshore Medical Clinic P C
Northshore Medical Clinic P C is an health care organization with primary practice located at 7786 Mullett Lake Rd , Cheboygan MI 49721-9056. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Northshore Medical Clinic P C can be contacted via phone (231) 627-2869, or through Siudara, Jerome E via phone (231) 627-2869.

Contact Information

Primary practice address
7786 Mullett Lake Rd Cheboygan MI 49721-9056
Phone: (231) 627-2869
Fax: (231) 627-2869
Website:
Map and Directions
Authorized official contact:
Name: Siudara, Jerome E Doctor of Osteopathy (DO)
Phone: (231) 627-2869

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101005875 Michigan

Profile Details

NPI number 1841357464
LBN Legal business name Northshore Medical Clinic P C
DBA Doing business as
Authorized official Siudara, Jerome E Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Dec 19th, 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 1841357464 NPPES
Michigan MEDICAID 111350021
Michigan Other 1651630495

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