| Adult Internal Medicine And Family Care, Plc | |
|
134 S Cochran Ave Charlotte MI 48813-1557 | |
| (517) 541-1000 | |
| (517) 541-1754 |
| Full Name | Adult Internal Medicine And Family Care, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 134 S Cochran Ave, Charlotte, Michigan |
| Authorized Official Name and Position | Jack Cribb (OWNER) |
| Authorized Official Contact | 5175411000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Internal Medicine And Family Care, Plc Po Box 367 Charlotte MI 48813-0367 Ph: (517) 485-0001 | Adult Internal Medicine And Family Care, Plc 134 S Cochran Ave Charlotte MI 48813-1557 Ph: (517) 541-1000 |
| NPI Number | 1174759989 |
|---|---|
| Provider Enumeration Date | 06/08/2009 |
| Last Update Date | 08/17/2009 |
| Medicare PECOS PAC ID | 7416009329 |
|---|---|
| Medicare Enrollment ID | O20090723000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174759989 | NPI | - | NPPES |
| 0B30018 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jack E Cribb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497961635 PECOS PAC ID: 2961565965 Enrollment ID: I20090119000074 |
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