Advantage Health Clinic, For Men, Inc, NPI 1316145972
Adult Medicine Physician in Marshall, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1316145972 |
| NPI Entity Type | Organization |
| Provider Name | Advantage Health Clinic, For Men, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 18625 Centennial Rd, Suite D, Marshall, MI, US |
| Provider Mailing Address | 18625 Centennial Rd, Suite D, Marshall, MI, US, 490689372 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Lisa A Ignatoski |
| Official Position | MANAGER |
| Phone | 269-789-1900 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Adult Medicine Physician |
| Classification | |
| Group | |
| License No. | 4301033625 |
| License State | MI |
| Description | Definition to come. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1952416877 | MI | INDIVIDUAL NPI | 01 |
| 4301055180 | MI | STE LICENSE NUMBER | 01 |
| F05571 | MI | UPIN | 01 |
| 1043379530 | MI | NPI INDIVIDUAL | 01 |
| 3522410 | MI | MEDICAID | 05 |
| 1316145972 | MI | GROUP NPI | 01 |
| 1952416877 | MI | NPI | 01 |
| G05602 | MI | UPIN | 01 |
| 1101312522 | MI | WULFBCINDPIN | 01 |
| CR033625 | MI | MICHIGAN LICENSE NUMBER | 01 |
| 4301055180 | MI | LICENSE NUMBER | 01 |
| 700A310290 | MI | BLUE CROSS BLUE SHIELD | 01 |
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