Pediatrics Pc

LBN: Pediatrics Pc
Pediatrics Pc is an health care organization with primary practice located at 670 Mall Dr , Portage MI 49024-2878. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatrics Pc can be contacted via phone (269) 327-1900, or through Lull, Stephen R via phone (269) 327-1900.

Contact Information

Primary practice address
670 Mall Dr Portage MI 49024-2878
Phone: (269) 327-1900
Fax: (269) 327-1564
Website:
Map and Directions
Authorized official contact:
Name: Lull, Stephen R Doctor of Medicine (MD)
Phone: (269) 327-1900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1265421069
LBN Legal business name Pediatrics Pc
DBA Doing business as
Authorized official Lull, Stephen R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Popular Providers