Provider Demographics
NPI:1770673741
Name:HPCN
Entity Type:Organization
Organization Name:HPCN
Other - Org Name:ADULT MEDICINE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-724-7845
Mailing Address - Street 1:6401 PRAIRIE ST
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-7840
Mailing Address - Country:US
Mailing Address - Phone:231-724-7848
Mailing Address - Fax:231-724-7850
Practice Address - Street 1:6401 PRAIRIE ST
Practice Address - Street 2:SUITE 2800
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-7840
Practice Address - Country:US
Practice Address - Phone:231-724-7848
Practice Address - Fax:231-724-7850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIDB5232OtherPALMETTO
MI=========OtherTAX ID
MI=========OtherTAX ID