OLD MISSION WOUND CARE MISSOURI LLC
NPI 1114734092
Specialist in Traverse City, MI

Q: What is Old Mission Wound Care Missouri LLC's NPI number?

The NPI number for Old Mission Wound Care Missouri LLC is 1114734092. It was assigned to this organization in the NPPES registry on December 14, 2024.

Q: What is Old Mission Wound Care Missouri LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 14, 2024

1989 KROUPA RD, TRAVERSE CITY, MI 49686(231) 260-4622 Get Directions Write a Review

NPPES record last updated: December 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Old Mission Wound Care Missouri Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD MISSION WOUND CARE MISSOURI LLC (NPI 1114734092) is a healthcare organization registered as a specialist in Traverse City, Michigan and active in the NPI registry since December 2024. The organization lists Christopher Paul Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1114734092

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameOLD MISSION WOUND CARE MISSOURI LLC

Location Address1989 KROUPA RDTraverse City, MI 49686-9759

Mailing Address225 Matlage Way Unit 31Sugar Land, TX 77487-0807 · (231) 260-4622

Phone(231) 260-4622

Organization SubpartNo

Authorized OfficialChristopher Paul MasonOwner · (231) 260-4622

Enumeration DateDecember 14, 2024

NPPES CertifiedDecember 14, 2024

✔ NPI 1114734092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1989 KROUPA RD, Traverse City, MI 49686

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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