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Contact Information

SEMINOLE SHORES INTERNAL MEDICINE PC
433 SEMINOLE RD
SUITE 105
MUSKEGON, MI49444-3743
 Phone: 231-739-2192
 Fax: 231-739-2343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SEMINOLE SHORES INTERNAL MEDICINE PC

NPI Number 1467631804
LBN Legal business name SEMINOLE SHORES INTERNAL MEDICINE PC
Authorized official CARL OGAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2007
Last updated 07/01/2008 - About 18 years ago
Identifiers
MI License # 4301062711
MI Medicaid 4559980
MI Other 1106110251 BLUE CROSS BLUE SHIELD
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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