Healthcare Provider Details

I. General information

NPI: 1366648842
Provider Name (Legal Business Name): WHITNEY ALLISON HOUNSHELL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 PATIENT CARE DR
LANSING MI
48911
US

IV. Provider business mailing address

3955 PATIENT CARE DR
LANSING MI
48911-4299
US

V. Phone/Fax

Practice location:
  • Phone: 517-374-7600
  • Fax: 517-999-4018
Mailing address:
  • Phone: 517-374-7600
  • Fax: 855-495-5457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number05-38203
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP0606
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number05-38203
License Number StateKS
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101024547
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: