Center For Breast & Body Contouring Pc in Grand Rapids - Specialist
Center For Breast & Body Contouring Pc - NPI 1194755306
Center For Breast & Body Contouring Pc is a Specialist in Grand Rapids, Michigan. Center For Breast & Body Contouring Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Center For Breast & Body Contouring Pc is 1194755306. The last update date is 2008-03-20.
Center For Breast & Body Contouring Pc's current location address is 4070 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164644420 and fax number 6164644354. The mailing address for Center For Breast & Body Contouring Pc is 4070 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Breast & Body Contouring Pc |
|---|---|
| Address | 4070 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6164644420 |
| Fax Number | 6164644354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Hammond C Dennis |
| Credentials | MD |
| Telephone Number | 6164644420 |
NPI Number Detail
| NPI Number | 1194755306 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2008-03-20 |
Provider Mailing Address Detail
| Address | 4070 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 4954682940 |
| Phone Number | 6164644420 |
| Fax Number | 6164644354 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301406022 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4362920 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Center For Breast & Body Contouring Pc by the Centers for Medicare & Medicaid Services?
The Center For Breast & Body Contouring Pc has been issued the NPI (National Provider Identifier) 1194755306 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Center For Breast & Body Contouring Pc is geographically located?
The Center For Breast & Body Contouring Pc is physically situated at the following location: 4070 Lake Dr Se, Grand Rapids, MI, 4954682940.
What is Center For Breast & Body Contouring Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Center For Breast & Body Contouring Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did the Center For Breast & Body Contouring Pc receive its 1194755306?
The Center For Breast & Body Contouring Pc was issued its 1194755306 on 2006-07-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Center For Breast & Body Contouring Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Center For Breast & Body Contouring Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-20.