Well-Spring Psychiatry, P.C.

LBN: Well-Spring Psychiatry, P.C.
Well-Spring Psychiatry, P.C. is an health care organization with primary practice located at 1421 Wayne St , Traverse City MI 49684-1432. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Well-Spring Psychiatry, P.C. can be contacted via phone (231) 922-9625, or through Conlon, Marilyn Eileen via phone (231) 922-9625.

Contact Information

Primary practice address
1421 Wayne St Traverse City MI 49684-1432
Phone: (231) 922-9625
Fax: (231) 929-5594
Website:
Map and Directions
Authorized official contact:
Name: Conlon, Marilyn Eileen Doctor of Medicine (MD)
Phone: (231) 922-9625

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1922112077
LBN Legal business name Well-Spring Psychiatry, P.C.
DBA Doing business as
Authorized official Conlon, Marilyn Eileen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 18th, 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 1922112077 NPPES
Michigan MEDICAID 4275243
Michigan Other P00075183

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