Provider Demographics
NPI:1154854685
Name:DIGESTIVE CARE OF LANSING PLC
Entity Type:Organization
Organization Name:DIGESTIVE CARE OF LANSING PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ANAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BITAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-599-9616
Mailing Address - Street 1:503 MALL CT # 145
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-5200
Mailing Address - Country:US
Mailing Address - Phone:517-599-9616
Mailing Address - Fax:
Practice Address - Street 1:503 MALL CT # 145
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-5200
Practice Address - Country:US
Practice Address - Phone:517-599-9616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011020472080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Single Specialty