Provider Demographics
NPI:1770567463
Name:CHILD HEALTH PARTNERS PC
Entity type:Organization
Organization Name:CHILD HEALTH PARTNERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHP
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SPATES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-482-9582
Mailing Address - Street 1:1515 LAKE LANSING RD
Mailing Address - Street 2:C 2
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3753
Mailing Address - Country:US
Mailing Address - Phone:517-482-9582
Mailing Address - Fax:517-482-4304
Practice Address - Street 1:1515 LAKE LANSING RD
Practice Address - Street 2:C 2
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3753
Practice Address - Country:US
Practice Address - Phone:517-482-9582
Practice Address - Fax:517-482-4304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty