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Benton Harbor Health Center Pllc
Specialist in Benton Harbor, Michigan
NPI 1528182656

Benton Harbor Health Center Pllc is a Specialist based in Benton Harbor, MI. Benton Harbor Health Center Pllc practices in Benton Harbor, MI. The NPI Number for Benton Harbor Health Center Pllc is 1528182656 and holds a License No. 4301065652 (Michigan).

The current practice location address for Benton Harbor Health Center Pllc is 687 E Empire Ave, Benton Harbor, MI and can be reached out via phone at 269-926-8535 and via fax at 269-926-8528.

Location: 687 E Empire Ave, Benton Harbor, MI, 49022-4857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528182656
Provider Name
Benton Harbor Health Center Pllc
Credential
Provider Entity Type
Organization
Address
687 E Empire Ave, Benton Harbor, MI, 49022-4857
Phone Number
269-926-8535
Fax Number
269-926-8528
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10-4662247 05 MI
4301065652 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
687 E Empire Ave
City
Benton Harbor
State
Michigan
Zip
49022-4857
Phone Number
269-926-8535
Fax Number
269-926-8528
person
Provider Business Mailing Address Details
Address
687 E Empire Ave
City
Benton Harbor
State
Michigan
Zip
49022-4857
Phone Number
269-926-8535
Fax Number
269-926-8528
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301065652 (Michigan)
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.
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