Provider Demographics
NPI:1164676714
Name:WE CARE FAMILY PRACTICE
Entity Type:Organization
Organization Name:WE CARE FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-214-3395
Mailing Address - Street 1:609 E JOLLY RD
Mailing Address - Street 2:12-C
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-6801
Mailing Address - Country:US
Mailing Address - Phone:517-882-3900
Mailing Address - Fax:517-882-5060
Practice Address - Street 1:609 E JOLLY RD
Practice Address - Street 2:12-C
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-6801
Practice Address - Country:US
Practice Address - Phone:517-882-3900
Practice Address - Fax:517-882-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101009418207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3010566Medicaid
MI5330036OtherBCBS
MIE37437Medicare UPIN
MI3010566Medicaid