Shepherd Of Hope Clinic Pc in Traverse City - General Practice
Shepherd Of Hope Clinic Pc - NPI 1225014715
Shepherd Of Hope Clinic Pc is a General Practice in Traverse City, Michigan. Shepherd Of Hope Clinic Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shepherd Of Hope Clinic Pc is 1225014715. The last update date is 2022-07-21.
Shepherd Of Hope Clinic Pc's current location address is 1028 Hannah Ave, Traverse City, Michigan. You can contact this provider via phone number 2319467360 and fax number 2319294775. The mailing address for Shepherd Of Hope Clinic Pc is 1028 Hannah Ave, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shepherd Of Hope Clinic Pc |
|---|---|
| Address | 1028 Hannah Ave, Traverse City, Michigan |
| Phone Number | 2319467360 |
| Fax Number | 2319294775 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Wigton John Douglas |
| Credentials | D.O. |
| Telephone Number | 2319467360 |
NPI Number Detail
| NPI Number | 1225014715 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1028 Hannah Ave |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496862963 |
| Phone Number | 2319467360 |
| Fax Number | 2319294775 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2100506 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shepherd Of Hope Clinic Pc by the Centers for Medicare & Medicaid Services?
The Shepherd Of Hope Clinic Pc has been assigned the NPI (National Provider Identifier) 1225014715 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shepherd Of Hope Clinic Pc is geographically located?
The Shepherd Of Hope Clinic Pc is physically situated at the following location: 1028 Hannah Ave, Traverse City, MI, 496862963.
What is Shepherd Of Hope Clinic Pc's area of expertise and its corresponding taxonomy classification?
The Shepherd Of Hope Clinic Pc's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225014715 to Shepherd Of Hope Clinic Pc?
The Centers for Medicare & Medicaid Services originally issued the 1225014715 to Shepherd Of Hope Clinic Pc on 2005-12-16.
When was the information regarding Shepherd Of Hope Clinic Pc most recently updated?
The details pertaining to the Shepherd Of Hope Clinic Pc, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.