GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C. – NPI #1912189457
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C. is a provider located in SAULT STE. MARIE, MI. NPPES has assigned the NPI number 1912189457 to GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C. on November 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0201X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Allergy & Immunology
The NPI profile was previously updated about 18 years ago on Feb 25, 2008. 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 GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C. below.
NPI Profile for
GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C.
(more than 18 years ago)
SUITE 101
SAULT STE. MARIE, MI 49783-2885 Phone: (906) 253-0400 Fax:
OWNER; PHYSICIAN
Phone: (906) 253-0400
Identifiers for GREAT LAKES ALLERGY AND ASTHMA CENTER, P.C.
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MI | 4609268 |
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 |
|---|---|---|
| 207RA0201X - Internal Medicine / Allergy & Immunology (Primary) |
MI | 4301082835 |
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.