Provider Demographics
NPI:1821264060
Name:MARCY C SCHLINGER D O LLC
Entity Type:Organization
Organization Name:MARCY C SCHLINGER D O LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-381-5360
Mailing Address - Street 1:4655 DOBIE RD
Mailing Address - Street 2:STE. 270
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2233
Mailing Address - Country:US
Mailing Address - Phone:517-381-5360
Mailing Address - Fax:517-381-5362
Practice Address - Street 1:4655 DOBIE RD
Practice Address - Street 2:STE. 270
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2233
Practice Address - Country:US
Practice Address - Phone:517-381-5360
Practice Address - Fax:517-381-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI011632204D00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1009116OtherMCLAREN HEALTH PLAN-HMO
MI2553310134OtherBCBS
MI114673901Medicaid
MI200000002667OtherPHP
MI114673901Medicaid