West Michigan Ent Plc

LBN: West Michigan Ent Plc
West Michigan Ent Plc is an health care organization with primary practice located at 1365 Mercy Dr , Muskegon MI 49444-1837. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. West Michigan Ent Plc can be contacted via phone (231) 739-9095, or through Komray, Raymond Robert via phone (231) 739-9095.

Contact Information

Primary practice address
1365 Mercy Dr Muskegon MI 49444-1837
Phone: (231) 739-9095
Fax: (231) 739-6439
Website:
Map and Directions
Authorized official contact:
Name: Komray, Raymond Robert Doctor of Medicine (MD)
Phone: (231) 739-9095

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Michigan

Profile Details

NPI number 1780883355
LBN Legal business name West Michigan Ent Plc
DBA Doing business as
Authorized official Komray, Raymond Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Mar 7th, 2023 - about 3 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 1780883355 NPPES
Other P55690 BLUE CARE NETWORK
Other 0406104502 BLUE CARE NETWORK
MEDICAID 1517752 BLUE CARE NETWORK

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