West Michigan Addiction Consultants, Pc

LBN: West Michigan Addiction Consultants, Pc
West Michigan Addiction Consultants, Pc is an health care organization with primary practice located at 3001 Fuller Ave Ne Suite 1, Grand Rapids MI 49505-3247. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. West Michigan Addiction Consultants, Pc can be contacted via phone (616) 365-8800, or through Baker, Bruce via phone (616) 365-8800.

Contact Information

Primary practice address
3001 Fuller Ave Ne Suite 1 Grand Rapids MI 49505-3247
Phone: (616) 365-8800
Fax: (616) 365-7979
Website:
Map and Directions
Authorized official contact:
Name: Baker, Bruce Doctor of Medicine (MD)
Phone: (616) 365-8800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 100005 Michigan

Profile Details

NPI number 1588821433
LBN Legal business name West Michigan Addiction Consultants, Pc
DBA Doing business as
Authorized official Baker, Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated May 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 1588821433 NPPES
Michigan Other 0504118411 BCBS

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