LAKESHORE ALLERGY PC – NPI #1639108863
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

LAKESHORE ALLERGY PC is an allergy & immunologist located in HOLLAND, MI. NPPES has assigned the NPI number 1639108863 to LAKESHORE ALLERGY PC on July 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 14 years ago on Feb 27, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESHORE ALLERGY PC below.

NPI Profile for
LAKESHORE ALLERGY PC

NPI Number
1639108863
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESHORE ALLERGY PC
Primary location
3290 N WELLNESS
BLDG D STE 180
HOLLAND, MI 49424
Phone: (616) 738-4262 Fax: (616) 738-4266
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIE HUTSON
OWNER OPERATOR PHYSICIAN
Phone: (616) 738-4262
Updated
Identifiers

Identifiers for LAKESHORE ALLERGY PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS0030084
OTHERBLUECHP105210
MEDICAIDMI4604806
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)
MI 4301051148

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.