CRYSTAL LAKE CLINIC P.C. – NPI #1679957617
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CRYSTAL LAKE CLINIC P.C. is a provider located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1679957617 to CRYSTAL LAKE CLINIC P.C. on July 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 CRYSTAL LAKE CLINIC P.C. below.

NPI Profile for
CRYSTAL LAKE CLINIC P.C.

NPI Number
1679957617
Enumeration Date

(about 11 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
CRYSTAL LAKE CLINIC P.C.
Primary location
1225 W FRONT ST
SUITE C
TRAVERSE CITY, MI 49684-2368
Phone: (231) 715-3601 Fax:
Mailing address
6227 FRANKFORT HWY
BENZONIA, MI 49616-8632
Phone: (231) 882-9661 Fax: (231) 882-9616
Organization Subpart
No
Authorized Official
RICHARD NIELSEN
PRESIDENT
Phone: (231) 882-9661
Updated
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
207Q00000X
- Family Medicine (Primary)

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.