Provider Demographics
NPI:1114072311
Name:PROMPT CARE EXPRESS P.C.
Entity Type:Organization
Organization Name:PROMPT CARE EXPRESS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:WHARTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-278-2301
Mailing Address - Street 1:892 E CHICAGO ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-2063
Mailing Address - Country:US
Mailing Address - Phone:517-278-2301
Mailing Address - Fax:517-278-2784
Practice Address - Street 1:892 E CHICAGO ST
Practice Address - Street 2:SUITE C
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-2063
Practice Address - Country:US
Practice Address - Phone:517-278-2301
Practice Address - Fax:517-278-2784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301029569332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3947100001Medicare NSC