| Violet Health Pc | |
|
2256 Orchard Lake Rd Sylvan Lake MI 48320-1750 | |
| (248) 416-1499 | |
| (248) 971-1132 |
| Full Name | Violet Health Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2256 Orchard Lake Rd, Sylvan Lake, Michigan |
| Authorized Official Name and Position | Jalal Thwainey (OWNER) |
| Authorized Official Contact | 2484161499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Violet Health Pc 2256 Orchard Lake Rd Sylvan Lake MI 48320-1750 Ph: (248) 416-1499 | Violet Health Pc 2256 Orchard Lake Rd Sylvan Lake MI 48320-1750 Ph: (248) 416-1499 |
| NPI Number | 1003683137 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 06/17/2024 |
| Medicare PECOS PAC ID | 0446693238 |
|---|---|
| Medicare Enrollment ID | O20240208002604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003683137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jalal J Thwainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568432441 PECOS PAC ID: 6901815745 Enrollment ID: I20060410000138 |
| Provider Name | Bassam Jabrail Thwainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871821389 PECOS PAC ID: 8820123177 Enrollment ID: I20100312000035 |
Sylvan Lake Family Practice Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2111 Orchard Lake Rd, Sylvan Lake, MI 48320 Phone: 248-451-1092 Fax: 248-451-1096 |