Lake Michigan Nephrology, L.L.C in Saint Joseph - Specialist
Lake Michigan Nephrology, L.L.C - NPI 1821201500
Lake Michigan Nephrology, L.L.C is a Specialist in Saint Joseph, Michigan. Lake Michigan Nephrology, L.L.C practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lake Michigan Nephrology, L.L.C is 1821201500. The last update date is 2023-10-05.
Lake Michigan Nephrology, L.L.C's current location address is 3800 Hollywood Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2694280819 and fax number 2694280841. The mailing address for Lake Michigan Nephrology, L.L.C is 3800 Hollywood Rd, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Michigan Nephrology, L.L.C |
|---|---|
| Address | 3800 Hollywood Rd, Saint Joseph, Michigan |
| Phone Number | 2694280819 |
| Fax Number | 2694280841 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Brash William Daniel |
| Credentials | MD |
| Telephone Number | 2694280819 |
NPI Number Detail
| NPI Number | 1821201500 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 3800 Hollywood Rd |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490858510 |
| Phone Number | 2694280819 |
| Fax Number | 2694280841 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301079804 |
|
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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lake Michigan Nephrology, L.L.C by the Centers for Medicare & Medicaid Services?
The Lake Michigan Nephrology, L.L.C has been assigned the NPI (National Provider Identifier) 1821201500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lake Michigan Nephrology, L.L.C?
The Lake Michigan Nephrology, L.L.C is physically situated at 3800 Hollywood Rd, in the city of Saint Joseph, state of MI, with the postal code 490858510.
What is the Lake Michigan Nephrology, L.L.C's specialty and taxonomy code?
The Lake Michigan Nephrology, L.L.C's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821201500 to Lake Michigan Nephrology, L.L.C?
The Centers for Medicare & Medicaid Services assigned the 1821201500 to Lake Michigan Nephrology, L.L.C on 2007-05-08.
As of what date were the Lake Michigan Nephrology, L.L.C's details last updated?
The information pertaining to the Lake Michigan Nephrology, L.L.C, including its address, specialty, and other details, was most recently updated on 2023-10-05.