Provider Demographics
NPI:1851913719
Name:GAPS HEALTH IN P.C.
Entity Type:Organization
Organization Name:GAPS HEALTH IN P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-812-0996
Mailing Address - Street 1:5319 BETHENY CIR
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48198-9653
Mailing Address - Country:US
Mailing Address - Phone:682-206-3118
Mailing Address - Fax:
Practice Address - Street 1:5319 BETHENY CIR
Practice Address - Street 2:
Practice Address - City:SUPERIOR TWP
Practice Address - State:MI
Practice Address - Zip Code:48198-9653
Practice Address - Country:US
Practice Address - Phone:682-206-3118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty