Western Michigan Pediatrics, Pc

LBN: Western Michigan Pediatrics, Pc
Western Michigan Pediatrics, Pc is an health care organization with primary practice located at 710 Kenmoor Ave Se Suite 110, Grand Rapids MI 49546-2379. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Western Michigan Pediatrics, Pc can be contacted via phone (616) 949-6112, or through Van Zee, Jennifer L via phone (616) 949-6112.

Contact Information

Primary practice address
710 Kenmoor Ave Se Suite 110 Grand Rapids MI 49546-2379
Phone: (616) 949-6112
Fax: (616) 949-8530
Website:
Map and Directions
Authorized official contact:
Name: Van Zee, Jennifer L Doctor of Medicine (MD)
Phone: (616) 949-6112

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1932227915
LBN Legal business name Western Michigan Pediatrics, Pc
DBA Doing business as
Authorized official Van Zee, Jennifer L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Sep 27th, 2018 - about 8 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 1932227915 NPPES
Michigan Other 0D16244 BCBS OF MICHIGAN PIN

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