Northridge Family Practice Llc in Hale - Clinical Cardiac Electrophysiology
Northridge Family Practice Llc - NPI 1780803932
Northridge Family Practice Llc is a Clinical Cardiac Electrophysiology in Hale, Michigan. Northridge Family Practice Llc practices all healthcare services and medical treatments related to Clinical Cardiac Electrophysiology. The NPI Number for Northridge Family Practice Llc is 1780803932. The last update date is 2009-01-13.
Northridge Family Practice Llc's current location address is 3190 Northridge Drive, Hale, Michigan. You can contact this provider via phone number 9897286000 and fax number 9897286003. The mailing address for Northridge Family Practice Llc is 3190 Northridge Drive, Hale, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northridge Family Practice Llc |
|---|---|
| Address | 3190 Northridge Drive, Hale, Michigan |
| Phone Number | 9897286000 |
| Fax Number | 9897286003 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Provoast Debra |
| Credentials | NP |
| Telephone Number | 9897286000 |
NPI Number Detail
| NPI Number | 1780803932 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2009-01-13 |
Provider Mailing Address Detail
| Address | 3190 Northridge Drive |
|---|---|
| City | Hale |
| State | Michigan (MI) |
| Post Code | 487399276 |
| Phone Number | 9897286000 |
| Fax Number | 9897286003 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Cardiac Electrophysiology |
|---|---|
| Taxonomy | 207Rc0001X |
| Licence No | 5101011670 |
|
Definition: A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA061417 | MI | MOHAMED ALI | |
| DL074550 | MI | DANIEL LEE | |
| 104289418 | MI | -- | |
| 114811801 | MI | -- | |
| 080C510310 | MI | BCBS GROUP |
Post Comment/ Review Below
What is the Northridge Family Practice Llc's 1780803932?
The Northridge Family Practice Llc's NPI (National Provider Identifier) Number is 1780803932. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Northridge Family Practice Llc is physically located?
The Northridge Family Practice Llc is physically situated at the following address: 3190 Northridge Drive, Hale, MI, 487399276.
What is the Northridge Family Practice Llc's specialty and taxonomy code?
The Northridge Family Practice Llc's specialty is Clinical Cardiac Electrophysiology, and the corresponding taxonomy code is 207Rc0001X.
When was the Northridge Family Practice Llc's 1780803932 issued?
The Northridge Family Practice Llc's 1780803932 was issued on 2007-04-25.
As of what date was the information regarding Northridge Family Practice Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northridge Family Practice Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-13.
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