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South County Ent
Specialist in Niles, Michigan
NPI 1740252535

South County Ent is a Specialist based in Niles, MI. South County Ent practices in Niles, MI. The NPI Number for South County Ent is 1740252535 and holds a License No. 4301074195 (Michigan).

The current practice location address for South County Ent is 60 N Saint Joseph Ave, Niles, MI and can be reached out via phone at 269-687-2910 and via fax at 269-687-8770.

Location: 60 N Saint Joseph Ave, Niles, MI, 49120-2296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740252535
Provider Name
South County Ent
Credential
Provider Entity Type
Organization
Address
60 N Saint Joseph Ave, Niles, MI, 49120-2296
Phone Number
269-687-2910
Fax Number
269-687-8770
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DA1319 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
60 N Saint Joseph Ave
City
Niles
State
Michigan
Zip
49120-2296
Phone Number
269-687-2910
Fax Number
269-687-8770
person
Provider Business Mailing Address Details
Address
60 N Saint Joseph Ave
City
Niles
State
Michigan
Zip
49120-2296
Phone Number
269-687-2910
Fax Number
269-687-8770
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301074195 (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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