Healthcare Provider Details
I. General information
NPI: 1659771426
Provider Name (Legal Business Name): DAYONE CITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2014
Last Update Date: 04/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 KENDALL ST S
BATTLE CREEK MI
49037-8471
US
IV. Provider business mailing address
363 FREMONT ST SUITE 203
BATTLE CREEK MI
49017-3389
US
V. Phone/Fax
- Phone: 269-969-6123
- Fax: 269-969-6122
- Phone: 269-969-6123
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRUCE
GALONSKY
Title or Position: PRESIDENT
Credential: MD
Phone: 269-969-6123