Healthcare Provider Details

I. General information

NPI: 1437477619
Provider Name (Legal Business Name): NPS ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 ORCHARD DR STE. 3008
MIDLAND MI
48640-6190
US

IV. Provider business mailing address

PO BOX 1702
MIDLAND MI
48641-1702
US

V. Phone/Fax

Practice location:
  • Phone: 989-839-6636
  • Fax: 989-839-0021
Mailing address:
  • Phone: 989-839-6636
  • Fax: 989-839-0021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS NOYLE
Title or Position: BUSINESS MANAGER
Credential:
Phone: 989-839-6636