Healthcare Provider Details

I. General information

NPI: 1972550580
Provider Name (Legal Business Name): NOCH PHYSICIAN BILLING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 SHELDON RD
GRAND HAVEN MI
49417-2404
US

IV. Provider business mailing address

PO BOX 30516
LANSING MI
48909-8016
US

V. Phone/Fax

Practice location:
  • Phone: 616-844-4528
  • Fax: 616-847-5608
Mailing address:
  • Phone: 616-844-4528
  • Fax: 616-847-5608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN T FOSS
Title or Position: SR. VP OPERATIONS ADMINISTRATION
Credential:
Phone: 231-861-3027