Brandy Eberhardt in South Lyon - Family Medicine
Brandy Eberhardt - NPI 1871705129
Brandy Eberhardt is a Family Medicine in South Lyon, Michigan. Brandy Eberhardt practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brandy Eberhardt is 1871705129. The last update date is 2011-04-01.
Brandy Eberhardt's current location address is 26006 Pontiac Trl, South Lyon, Michigan. You can contact this provider via phone number 2484375613 and fax number 2484375694. The mailing address for Brandy Eberhardt is 26006 Pontiac Trl, South Lyon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandy Eberhardt |
|---|---|
| Address | 26006 Pontiac Trl, South Lyon, Michigan |
| Phone Number | 2484375613 |
| Fax Number | 2484375694 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1871705129 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2011-04-01 |
Provider Mailing Address Detail
| Address | 26006 Pontiac Trl |
|---|---|
| City | South Lyon |
| State | Michigan (MI) |
| Post Code | 481788050 |
| Phone Number | 2484375613 |
| Fax Number | 2484375694 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101016493 |
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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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What is the unique identification code assigned to Brandy Eberhardt by the Centers for Medicare & Medicaid Services?
The Brandy Eberhardt has been issued the NPI (National Provider Identifier) 1871705129. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brandy Eberhardt?
The Brandy Eberhardt is physically situated at 26006 Pontiac Trl, in the city of South Lyon, state of MI, with the postal code 481788050.
What is Brandy Eberhardt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brandy Eberhardt's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did Brandy Eberhardt receive its 1871705129 assignment from the Centers for Medicare & Medicaid Services?
The Brandy Eberhardt was assigned its 1871705129 on 2007-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brandy Eberhardt most recently updated?
The details pertaining to the Brandy Eberhardt, including its address, specialty, and other relevant information, were last refreshed on 2011-04-01.