Healthcare Provider Details

I. General information

NPI: 1801036090
Provider Name (Legal Business Name): CENTER FOR HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 E EIGHTH ST
TRAVERSE CITY MI
49686-2630
US

IV. Provider business mailing address

615 E 8TH ST
TRAVERSE CITY MI
49686-2630
US

V. Phone/Fax

Practice location:
  • Phone: 231-929-2900
  • Fax: 231-929-7191
Mailing address:
  • Phone: 231-929-2900
  • Fax: 231-929-7191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number5151008468
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAM P COPELAND
Title or Position: OWNER
Credential: DO
Phone: 231-929-2900