Provider Demographics
NPI:1043234719
Name:HPCN
Entity Type:Organization
Organization Name:HPCN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE & BILLING
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-728-5081
Mailing Address - Street 1:986 W NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4106
Mailing Address - Country:US
Mailing Address - Phone:231-737-2194
Mailing Address - Fax:231-737-4524
Practice Address - Street 1:986 W NORTON AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-4106
Practice Address - Country:US
Practice Address - Phone:231-737-2194
Practice Address - Fax:231-737-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID