Otsego Family Medical Practice, Pllc in Gobles - Family
Otsego Family Medical Practice, Pllc - NPI 1801920533
Otsego Family Medical Practice, Pllc is a Family in Gobles, Michigan. Otsego Family Medical Practice, Pllc practices all healthcare services and medical treatments related to Family. The NPI Number for Otsego Family Medical Practice, Pllc is 1801920533. The last update date is 2020-08-22.
Otsego Family Medical Practice, Pllc's current location address is 34471 North Dr, Gobles, Michigan. You can contact this provider via phone number 2696282789. The mailing address for Otsego Family Medical Practice, Pllc is 34471 North Dr, Gobles, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Otsego Family Medical Practice, Pllc |
|---|---|
| Address | 34471 North Dr, Gobles, Michigan |
| Phone Number | 2696282789 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Boothby D Fred |
| Credentials | CNP |
| Telephone Number | 2696284997 |
NPI Number Detail
| NPI Number | 1801920533 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 34471 North Dr |
|---|---|
| City | Gobles |
| State | Michigan (MI) |
| Post Code | 490559670 |
| Phone Number | 2696282789 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704142595 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code issued to Otsego Family Medical Practice, Pllc by the Centers for Medicare & Medicaid Services?
The Otsego Family Medical Practice, Pllc has been assigned the NPI (National Provider Identifier) 1801920533 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Otsego Family Medical Practice, Pllc's facilities are geographically located?
The facilities of Otsego Family Medical Practice, Pllc are physically situated at the following location: 34471 North Dr, Gobles, MI, 490559670.
What is Otsego Family Medical Practice, Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Otsego Family Medical Practice, Pllc is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801920533 to Otsego Family Medical Practice, Pllc?
The Otsego Family Medical Practice, Pllc received its 1801920533 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the information regarding Otsego Family Medical Practice, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Otsego Family Medical Practice, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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