Children'S Heart Center, Pc in Lansing - Specialist
Children'S Heart Center, Pc - NPI 1417054594
Children'S Heart Center, Pc is a Specialist in Lansing, Michigan. Children'S Heart Center, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Children'S Heart Center, Pc is 1417054594. The last update date is 2020-08-22.
Children'S Heart Center, Pc's current location address is 1514 E Michigan Ave, Lansing, Michigan. You can contact this provider via phone number 5174840004 and fax number 5174847241. The mailing address for Children'S Heart Center, Pc is 1514 E Michigan Ave, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Heart Center, Pc |
|---|---|
| Address | 1514 E Michigan Ave, Lansing, Michigan |
| Phone Number | 5174840004 |
| Fax Number | 5174847241 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Matisoff N David |
| Credentials | MD |
| Telephone Number | 5174840004 |
NPI Number Detail
| NPI Number | 1417054594 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1514 E Michigan Ave |
|---|---|
| City | Lansing |
| State | Michigan (MI) |
| Post Code | 489122221 |
| Phone Number | 5174840004 |
| Fax Number | 5174847241 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | DM040001 |
|
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 |
|---|---|---|---|
| 350C31064 | MI | BCBS OF MI GROUP ID |
Post Comment/ Review Below
What is the Children'S Heart Center, Pc's unique identification number?
The Children'S Heart Center, Pc has been assigned the NPI (National Provider Identifier) Number 1417054594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Children'S Heart Center, Pc is physically located?
The Children'S Heart Center, Pc is situated at the following address: 1514 E Michigan Ave, Lansing, MI 489122221.
What is Children'S Heart Center, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Children'S Heart Center, Pc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Children'S Heart Center, Pc's 1417054594 issued?
The Children'S Heart Center, Pc's 1417054594 was issued on 2006-09-20.
As of what date were the details related to Children'S Heart Center, Pc most recently updated or revised?
The information pertaining to Children'S Heart Center, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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