Provider Demographics
NPI:1457390866
Name:LIFE CARE ANESTHESIOLOGIST PC
Entity Type:Organization
Organization Name:LIFE CARE ANESTHESIOLOGIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PASTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:APEROCHO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:517-437-7288
Mailing Address - Street 1:PO BOX 357
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-0357
Mailing Address - Country:US
Mailing Address - Phone:517-437-7288
Mailing Address - Fax:517-437-7374
Practice Address - Street 1:168 S HOWELL ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-2040
Practice Address - Country:US
Practice Address - Phone:517-437-7288
Practice Address - Fax:517-437-7374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty