Primary Care Sports Medicine Pc in Petoskey - Family Medicine
Primary Care Sports Medicine Pc - NPI 1972658136
Primary Care Sports Medicine Pc is a Family Medicine in Petoskey, Michigan. Primary Care Sports Medicine Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Primary Care Sports Medicine Pc is 1972658136. The last update date is 2008-07-08.
Primary Care Sports Medicine Pc's current location address is 560 W Mitchell St, Petoskey, Michigan. You can contact this provider via phone number 2313489710 and fax number 2313489715. The mailing address for Primary Care Sports Medicine Pc is 560 W Mitchell St, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Care Sports Medicine Pc |
|---|---|
| Address | 560 W Mitchell St, Petoskey, Michigan |
| Phone Number | 2313489710 |
| Fax Number | 2313489715 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sheperd M Todd |
| Credentials | MD |
| Telephone Number | 2313489710 |
NPI Number Detail
| NPI Number | 1972658136 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2008-07-08 |
Provider Mailing Address Detail
| Address | 560 W Mitchell St |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497702275 |
| Phone Number | 2313489710 |
| Fax Number | 2313489715 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301074786 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104701069 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Primary Care Sports Medicine Pc by the Centers for Medicare & Medicaid Services?
The Primary Care Sports Medicine Pc has been assigned the NPI (National Provider Identifier) 1972658136. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Primary Care Sports Medicine Pc's facilities are situated?
The facilities of Primary Care Sports Medicine Pc are physically located at the following address: 560 W Mitchell St, Petoskey, MI, 497702275.
What is Primary Care Sports Medicine Pc's area of expertise and its corresponding taxonomy classification?
The Primary Care Sports Medicine Pc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Primary Care Sports Medicine Pc receive the assignment of its 1972658136 from the Centers for Medicare & Medicaid Services?
The Primary Care Sports Medicine Pc was issued its 1972658136 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the details related to Primary Care Sports Medicine Pc most recently updated or revised?
The information pertaining to Primary Care Sports Medicine Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-08.
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