National Provider Identifier Database

AUSABLE MEDICAL ASSOCIATES PC
Family


Contact Information

AUSABLE MEDICAL ASSOCIATES, PC
81 S. I-75 BUSINESS LOOP
GRAYLING, MI49738-0393
Phone: 989-348-7400
Fax: 888-821-5005
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Family Medicine 207Q00000X
Medical 363AM0700X

* Indicates primary specialty

NPI Profile & details for AUSABLE MEDICAL ASSOCIATES, PC

NPI Number 1689697930
Legal business name
LBN
AUSABLE MEDICAL ASSOCIATES, PC
Authorized official GERALD GERTISER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/26/2006
Last updated 01/27/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4704159028
  • MI License #: 4704216377
  • MI License #: 5601002890
  • MI License #: LH010698
  • MI Medicaid: 104563113
  • MI Other: 080B010120 MD'S & DO'S BCBS GRP #
  • MI Other: 500B010130 NP'S BCBS GROUP #

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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