Shepherd Of Hope Clinic Pc

LBN: Shepherd Of Hope Clinic Pc
Shepherd Of Hope Clinic Pc is an health care organization with primary practice located at 1028 Hannah Ave Suite D, Traverse City MI 49686-2963. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Shepherd Of Hope Clinic Pc can be contacted via phone (231) 946-7360, or through Wigton, Douglas John via phone (231) 946-7360.

Contact Information

Primary practice address
1028 Hannah Ave Suite D Traverse City MI 49686-2963
Phone: (231) 946-7360
Fax: (231) 929-4775
Website:
Map and Directions
Authorized official contact:
Name: Wigton, Douglas John Doctor of Osteopathy (DO)
Phone: (231) 946-7360

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Michigan

Profile Details

NPI number 1225014715
LBN Legal business name Shepherd Of Hope Clinic Pc
DBA Doing business as
Authorized official Wigton, Douglas John Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 21st, 2022 - about 4 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 1225014715 NPPES
Michigan MEDICAID 2100506

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