South County Ent is a Specialist in Niles, Michigan. South County Ent practices all healthcare services and medical treatments related to Specialist. The NPI Number for South County Ent is 1740252535. The last update date is 2007-11-01.
South County Ent's current location address is 60 N Saint Joseph Ave, Niles, Michigan. You can contact this provider via phone number 2696872910 and fax number 2696878770. The mailing address for South County Ent is 60 N Saint Joseph Ave, Niles, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | South County Ent |
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Address | 60 N Saint Joseph Ave, Niles, Michigan |
Phone Number | 2696872910 |
Fax Number | 2696878770 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Middleton Geegan Mary |
Telephone Number | 2696840259 |
NPI Number Detail
NPI Number | 1740252535 |
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Provider Enumeration Date | 2006-02-06 |
Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
Address | 60 N Saint Joseph Ave |
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City | Niles |
State | Michigan (MI) |
Post Code | 491202296 |
Phone Number | 2696872910 |
Fax Number | 2696878770 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 4301074195 |
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 |
---|---|---|---|
DA1319 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to South County Ent?
The South County Ent has been issued the NPI (National Provider Identifier) 1740252535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of South County Ent?
The South County Ent is physically situated at 60 N Saint Joseph Ave, in the city of Niles, state of MI, with the postal code 491202296.
What is the South County Ent's specialty and taxonomy code?
The South County Ent's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the South County Ent receive its 1740252535 assignment from the Centers for Medicare & Medicaid Services?
The South County Ent was assigned its 1740252535 by the Centers for Medicare & Medicaid Services on 2006-02-06.
When was the information pertaining to South County Ent most recently updated or revised?
The details related to South County Ent, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-01.