Healthcare Provider Details
I. General information
NPI: 1073516118
Provider Name (Legal Business Name): LIVINGSTON COUNTY TREASURER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2005
Last Update Date: 09/02/2020
Certification Date: 09/02/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1911 TOOLEY RD
HOWELL MI
48855-8703
US
IV. Provider business mailing address
1911 TOOLEY RD
HOWELL MI
48855-8703
US
V. Phone/Fax
- Phone: 517-546-6220
- Fax:
- Phone: 517-546-6220
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 471001 |
| License Number State | MI |
VIII. Authorized Official
Name: MR.
DAVID
D
FELDPAUSCH
Title or Position: DIRECTOR
Credential:
Phone: 517-540-7865