Provider Demographics
NPI:1942089420
Name:PROMPT CARE PLUS LLC
Entity Type:Organization
Organization Name:PROMPT CARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LONNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:OTIS-PEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:517-462-8934
Mailing Address - Street 1:19958 T DRIVE S
Mailing Address - Street 2:
Mailing Address - City:TEKONSHA
Mailing Address - State:MI
Mailing Address - Zip Code:49092
Mailing Address - Country:US
Mailing Address - Phone:517-462-8934
Mailing Address - Fax:
Practice Address - Street 1:892 E CHICAGO STREET
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036
Practice Address - Country:US
Practice Address - Phone:517-462-8934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty