1346478740 NPI number — PRISTINE MEDICAL LLC

Table of content: DENISE ANDESRON (NPI 1992119630)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346478740 NPI number — PRISTINE MEDICAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRISTINE MEDICAL LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346478740
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
180 CHURCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT IGNACE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49781-1602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-757-4710
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1502 W WEST MAPLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALLED LAKE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48390-2945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-207-4358
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ST. LOUIS
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
248-757-4710

Provider Taxonomy Codes

  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)