JP CENTER FOR PLASTIC SURGERY PC
NPI 1316358385
Specialist in Traverse City, MI
- Organization
- Specialist
About JP CENTER FOR PLASTIC SURGERY PC
This page provides the complete NPI Profile along with additional information for Jp Center For Plastic Surgery Pc, a provider established in Traverse City, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1316358385 assigned on May 2014. The practitioner's primary taxonomy code is 174400000X with license number 4301403808 (MI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. John William Polley M.d. (President/plastic Surgeon)
- NPI
- 1316358385 Verify this NPI
- Provider Name
- JP CENTER FOR PLASTIC SURGERY PC
- Entity Type
- Organization
- Location Address
- 3529 WEST FRONT ST JP CENTER FOR PLASTIC SURGERY PC TRAVERSE CITY, MI 49684
- Location Phone
- (708) 203-6090
- Mailing Address
- 3529 WEST FRONT ST JP CENTER FOR PLASTIC SURGERY PC TRAVERSE CITY, MI 49684
- Mailing Phone
- (708) 203-6090
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2014
- Last Update Date
- 06-19-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 4301403808
- License State
- MI
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316358385, enumerated as an "organization" on May 13, 2014.
The provider is located at 3529 WEST FRONT ST JP CENTER FOR PLASTIC SURGERY PC TRAVERSE CITY, MI 49684 and the phone number is (708) 203-6090.
Specialist with taxonomy code 174400000X.
