| Sleepy Hollow Health Care Services Pllc | |
|
1212 Lincolnshire Dr Saint Johns MI 48879-2472 | |
| (989) 292-7334 | |
| Not Available |
| Full Name | Sleepy Hollow Health Care Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1212 Lincolnshire Dr, Saint Johns, Michigan |
| Authorized Official Name and Position | Paul David Minnick (OWNER) |
| Authorized Official Contact | 9892927334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleepy Hollow Health Care Services Pllc 1212 Lincolnshire Dr Saint Johns MI 48879-2472 Ph: (989) 292-7334 | Sleepy Hollow Health Care Services Pllc 1212 Lincolnshire Dr Saint Johns MI 48879-2472 Ph: (989) 292-7334 |
| NPI Number | 1730560541 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 6002129483 |
|---|---|
| Medicare Enrollment ID | O20150714001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730560541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010846 (Michigan) | Primary |
| Provider Name | Paul D Minnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700982485 PECOS PAC ID: 1052224532 Enrollment ID: I20050317000099 |
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