Zachary Kanjuparamban Mdpc

LBN: Zachary Kanjuparamban Mdpc
Zachary Kanjuparamban Mdpc is an health care organization with primary practice located at 211 S Crapo St Suite D, Mt Pleasant MI 48858-2961. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Zachary Kanjuparamban Mdpc can be contacted via phone (989) 772-1989, or through Mcconkie, Jennifer via phone (989) 772-1989.

Contact Information

Primary practice address
211 S Crapo St Suite D Mt Pleasant MI 48858-2961
Phone: (989) 772-1989
Fax: (989) 772-5523
Website:
Map and Directions
Authorized official contact:
Name: Mcconkie, Jennifer
Phone: (989) 772-1989

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301033831 Michigan

Profile Details

NPI number 1609009984
LBN Legal business name Zachary Kanjuparamban Mdpc
DBA Doing business as
Authorized official Mcconkie, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2009
Last updated Sep 2nd, 2009 - about 17 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 1609009984 NPPES
Michigan MEDICAID 1425759

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