Provider Demographics
NPI:1760881726
Name:C&M COMPASSIONATE CARE PLLC
Entity Type:Organization
Organization Name:C&M COMPASSIONATE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-227-5246
Mailing Address - Street 1:235 E CHICAGO ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1789
Mailing Address - Country:US
Mailing Address - Phone:517-227-5246
Mailing Address - Fax:517-227-5254
Practice Address - Street 1:235 E CHICAGO ST
Practice Address - Street 2:SUITE 2
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1783
Practice Address - Country:US
Practice Address - Phone:517-227-5246
Practice Address - Fax:517-227-5254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078365207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty