Organization Name: | HEALTHLAND PROFESSIONAL SERVICES P.C. |
NPI Number: | 1780723494 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEGHAN E BASHIR (CHIEF OPERATIONAL OFFICER) |
Mailing Address: | 1302 N Eaton St Albion |
State: | MI US |
Postal Code: | 492241041 |
Phone Number: | 5176299551 |
Fax Number: | 5176299662 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |