Provider Demographics
NPI:1164643847
Name:ARTHRITIS CARE PC
Entity Type:Organization
Organization Name:ARTHRITIS CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GUGGENHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-267-0107
Mailing Address - Street 1:1106 N CEDAR ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-5334
Mailing Address - Country:US
Mailing Address - Phone:517-267-0107
Mailing Address - Fax:517-267-9523
Practice Address - Street 1:1106 N CEDAR ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5334
Practice Address - Country:US
Practice Address - Phone:517-267-0107
Practice Address - Fax:517-267-9523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010463207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4233584Medicaid
MI4233584Medicaid
E77779Medicare UPIN
ON15590Medicare ID - Type Unspecified