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Contact Information

GERIATRIC PHYSICIAN STAFFING, P. C.
1513 N ORCHARD DR
TRAVERSE CITY, MI49686-1946
 Phone: 231-838-2765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GERIATRIC PHYSICIAN STAFFING, P. C.

NPI Number 1215989868
LBN Legal business name GERIATRIC PHYSICIAN STAFFING, P. C.
Authorized official KELLY O'SULLIVAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2006
Last updated 09/21/2007 - About 19 years ago
Identifiers
MI License # 4301081068
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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