Brian Jay Mccomb in Manistee - Family Medicine

Brian Jay Mccomb - NPI 1114901576

Brian Jay Mccomb is a Family Medicine in Manistee, Michigan. Brian Jay Mccomb practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brian Jay Mccomb is 1114901576. The last update date is 2020-12-23.

Brian Jay Mccomb's current location address is 315 Oakgrove St, Manistee, Michigan. You can contact this provider via phone number 2313981950 and fax number 2313989268. The mailing address for Brian Jay Mccomb is 315 Oakgrove St, Manistee, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Jay Mccomb
Address 315 Oakgrove St, Manistee, Michigan
Phone Number 2313981950
Fax Number 2313989268
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1114901576
Provider Enumeration Date 2005-11-30
Last Updated Date 2020-12-23

Provider Mailing Address Detail

Address 315 Oakgrove St
City Manistee
State Michigan (MI)
Post Code 496601176
Phone Number 2313981950
Fax Number 2313989268

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5101012971
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
855110425 MI BLUE CROSS BLUE SHIELD MI
4566803 MI --
760743986100 COMMUNITY CHOICE
7885122 AETNA
E16002098 MI MEDICARE PTAN
900018330 PRIORITY HEALTH
P00093145 PALMETTO GBA RR MEDICARE

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FAQs about Brian Jay Mccomb

What is the Brian Jay Mccomb's 1114901576?

The Brian Jay Mccomb's NPI (National Provider Identifier) Number is 1114901576. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Brian Jay Mccomb's facilities are situated?

The facilities of Brian Jay Mccomb are physically located at the following address: 315 Oakgrove St, Manistee, MI, 496601176.

What is Brian Jay Mccomb's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Brian Jay Mccomb is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date was the 1114901576 assigned to Brian Jay Mccomb?

The Brian Jay Mccomb was issued its 1114901576 on 2005-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Brian Jay Mccomb last refreshed?

The information related to the Brian Jay Mccomb, including its address, specialty, and other relevant details, was last updated on 2020-12-23.

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