West Michigan Ent Plc in Muskegon - Specialist
West Michigan Ent Plc - NPI 1780883355
West Michigan Ent Plc is a Specialist in Muskegon, Michigan. West Michigan Ent Plc practices all healthcare services and medical treatments related to Specialist. The NPI Number for West Michigan Ent Plc is 1780883355. The last update date is 2023-03-07.
West Michigan Ent Plc's current location address is 1365 Mercy Dr, Muskegon, Michigan. You can contact this provider via phone number 2317399095 and fax number 2317396439. The mailing address for West Michigan Ent Plc is 1365 Mercy Dr, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Michigan Ent Plc |
|---|---|
| Address | 1365 Mercy Dr, Muskegon, Michigan |
| Phone Number | 2317399095 |
| Fax Number | 2317396439 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Komray Robert Raymond |
| Credentials | M.D. |
| Telephone Number | 2317399095 |
NPI Number Detail
| NPI Number | 1780883355 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1365 Mercy Dr |
|---|---|
| City | Muskegon |
| State | Michigan (MI) |
| Post Code | 494441837 |
| Phone Number | 2317399095 |
| Fax Number | 2317396439 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 |
|---|---|---|---|
| P55690 | BLUE CARE NETWORK | ||
| 406104502 | MI | BLUE CROSS BLUE SHIELD OF | |
| 1517752 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to West Michigan Ent Plc by the Centers for Medicare & Medicaid Services (CMS)?
The West Michigan Ent Plc has been assigned the NPI (National Provider Identifier) 1780883355. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where West Michigan Ent Plc is physically located?
The West Michigan Ent Plc is situated at the following address: 1365 Mercy Dr, Muskegon, MI 494441837.
What is the West Michigan Ent Plc's specialty and taxonomy code?
The West Michigan Ent Plc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the West Michigan Ent Plc's 1780883355 issued?
The West Michigan Ent Plc's 1780883355 was issued on 2007-07-13.
When was the information related to West Michigan Ent Plc most recently updated or refreshed?
The details pertaining to the West Michigan Ent Plc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.