National Provider Identifier Database

NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
Public Health, Federal


Contact Information

NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
4415 BYRON CENTER AVE SW
WYOMING, MI49519-4800
Phone: 616-249-0159
Fax: 616-249-8688
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for NOTTAWASEPPI HURON BAND OF THE POTAWATOMI

NPI Number 1770500548
Legal business name
LBN
NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
Authorized official ROSALIND JOHNSTON - (HEALTH DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/16/2006
Last updated 07/09/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 18732

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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