A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Adolescent Medicine | 207QA0000X |
| Clinic/Center | 261Q00000X | |
| Internal Medicine | 207R00000X | |
| Pain Medicine | 207LP2900X | |
| Pain Medicine | 2081P2900X | |
| Pediatrics | 208000000X |
* Indicates primary specialty
| NPI Number | 1760681159 |
| Legal business name LBN |
SPARROW EATON HOSPITAL |
| Authorized official | MISTY RUSSIAN - (SUPERVISOR, PROVIDER ENROLLMENT) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 07/16/2007 |
| Last updated | 03/18/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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