Provider Demographics
NPI:1780723494
Name:HEALTHLAND PROFESSIONAL SERVICES P.C.
Entity type:Organization
Organization Name:HEALTHLAND PROFESSIONAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-629-9551
Mailing Address - Street 1:1302 N EATON ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:MI
Mailing Address - Zip Code:49224-1041
Mailing Address - Country:US
Mailing Address - Phone:517-629-9551
Mailing Address - Fax:517-629-9662
Practice Address - Street 1:1302 N EATON ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:MI
Practice Address - Zip Code:49224-1041
Practice Address - Country:US
Practice Address - Phone:517-629-9551
Practice Address - Fax:517-629-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty