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Contact Information

GRAND RAPIDS ALLERGY PLC
970 PARCHMENT DRIVE SE
SUITE 203
GRAND RAPIDS, MI49546
 Phone: 616-949-4840
 Fax: 616-949-3531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for GRAND RAPIDS ALLERGY PLC

NPI # 1417001892
LBN Legal business name GRAND RAPIDS ALLERGY PLC
Authorized official KARYN GELL - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 12/31/2013 - About 12 years ago
Identifiers
Other C0BOB BILLING LOCATION CODE
MI Other 110D111480 BCBS OF MI
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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