Steven S. Ellinger, Od, Plc in Portage - Clinic/center

Steven S. Ellinger, Od, Plc - NPI 1205955937

Steven S. Ellinger, Od, Plc is a Clinic/center in Portage, Michigan. Steven S. Ellinger, Od, Plc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Steven S. Ellinger, Od, Plc is 1205955937. The last update date is 2016-09-14.

Steven S. Ellinger, Od, Plc's current location address is 1612 E Centre Ave, Portage, Michigan. You can contact this provider via phone number 2693291030 and fax number 2693290966. The mailing address for Steven S. Ellinger, Od, Plc is 1612 E Centre Ave, Portage, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Steven S. Ellinger, Od, Plc
Address 1612 E Centre Ave, Portage, Michigan
Phone Number 2693291030
Fax Number 2693290966
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SOLE MEMBE
Authorized Official Name Ellinger S. Steven
Credentials O.D.
Telephone Number 2693291030

NPI Number Detail

NPI Number 1205955937
Provider Enumeration Date 2007-03-27
Last Updated Date 2016-09-14

Provider Mailing Address Detail

Address 1612 E Centre Ave
City Portage
State Michigan (MI)
Post Code 490024410
Phone Number 2693291030
Fax Number 2693290966

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No B4444X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Steven S. Ellinger, Od, Plc

What is the unique identification code assigned to Steven S. Ellinger, Od, Plc by the Centers for Medicare & Medicaid Services?

The Steven S. Ellinger, Od, Plc has been issued the NPI (National Provider Identifier) 1205955937. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Steven S. Ellinger, Od, Plc's physical address?

The Steven S. Ellinger, Od, Plc is physically located at 1612 E Centre Ave, in the city of Portage, MI, with the postal code 490024410.

What is Steven S. Ellinger, Od, Plc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Steven S. Ellinger, Od, Plc's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.

On what date did the Steven S. Ellinger, Od, Plc receive its 1205955937 assignment from the Centers for Medicare & Medicaid Services?

The Steven S. Ellinger, Od, Plc was assigned its 1205955937 by the Centers for Medicare & Medicaid Services on 2007-03-27.

As of what date was the information pertaining to Steven S. Ellinger, Od, Plc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Steven S. Ellinger, Od, Plc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-09-14.

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