Shoreline Rehab Plc in Montague - Specialist

Shoreline Rehab Plc - NPI 1548452659

Shoreline Rehab Plc is a Specialist in Montague, Michigan. Shoreline Rehab Plc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shoreline Rehab Plc is 1548452659. The last update date is 2013-05-21.

Shoreline Rehab Plc's current location address is 9219 Water St, Montague, Michigan. You can contact this provider via phone number 2318936655 and fax number 2318934902. The mailing address for Shoreline Rehab Plc is 9219 Water St, Montague, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shoreline Rehab Plc
Address 9219 Water St, Montague, Michigan
Phone Number 2318936655
Fax Number 2318934902
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER/OWN
Authorized Official Name Brown Jean Barbara
Credentials ILPT
Telephone Number 2318936655

NPI Number Detail

NPI Number 1548452659
Provider Enumeration Date 2007-08-13
Last Updated Date 2013-05-21

Provider Mailing Address Detail

Address 9219 Water St
City Montague
State Michigan (MI)
Post Code 494379206
Phone Number 2318936655
Fax Number 2318934902

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 5501008363
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
650F157060M MI BLUE CROSS BLUE SHIELD
650F157050 MI BLUE CROSS BLUE SHIELD
1908559 MI --
DE3646 MI RAILROAD MEDICARE GROUP

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FAQs about Shoreline Rehab Plc

What is the unique 10-digit identifier code issued to Shoreline Rehab Plc by the Centers for Medicare & Medicaid Services?

The Shoreline Rehab Plc has been assigned the NPI (National Provider Identifier) 1548452659 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Shoreline Rehab Plc's facilities are situated?

The facilities of Shoreline Rehab Plc are physically located at the following address: 9219 Water St, Montague, MI, 494379206.

What is Shoreline Rehab Plc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shoreline Rehab Plc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did Shoreline Rehab Plc receive its 1548452659 assignment from the Centers for Medicare & Medicaid Services?

The Shoreline Rehab Plc was assigned its 1548452659 on 2007-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Shoreline Rehab Plc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shoreline Rehab Plc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-21.

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