HEALTHY IMAGE SKIN AND BODY CLINIC PLLC (NPI# 1174724454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174724454 |
| Entity Type | Organization |
| Organization Name | HEALTHY IMAGE SKIN AND BODY CLINIC PLLC |
| Practice Address |
2492 I-75 West Branch MI 48661 |
| Mailing Address |
611 Court St Po Box 428 West Branch MI 48661-0428 |
| Practice Telephone | 9893453150 |
| Mailing Telephone | 9895164317 |
| Mailing Fax Number | 9893455803 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | RICHARD MACAULEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9893453150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2492 I-75 |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922411 | Great Lakes Bay Health Centers | Clinic/Center | 2110 S M 76 Ste 9, West Branch, MI 48661-8737 | 2015-01-12 |
| 1255633871 | Doris A Nelson M D P C | Clinic/Center | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
Please comment or provide details below to improve the information on HEALTHY IMAGE SKIN AND BODY CLINIC PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.