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Contact Information

BRIGHTSIDE MEDICAL OF MICHIGAN, P.C.
300 INTERSTATE CORPORATE CTR
WILLISTON, VT05495-7626
 Phone: 415-360-3348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BRIGHTSIDE MEDICAL OF MICHIGAN, P.C.

NPI Number 1144020918
LBN Legal business name BRIGHTSIDE MEDICAL OF MICHIGAN, P.C.
Authorized official JUSTIN HUNT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2025
Last updated 03/19/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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