=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134129299
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APPLEVIEW WOMEN'S HEALTH CARE, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2005
-----------------------------------------------------
Last Update Date | 03/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 684 HARVEY ST SUITE 102
-----------------------------------------------------
City | MUSKEGON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49442-4274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-777-2748
-----------------------------------------------------
Fax | 231-777-1529
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 684 HARVEY ST STE 102
-----------------------------------------------------
City | MUSKEGON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49442-4274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-777-2748
-----------------------------------------------------
Fax | 231-777-1529
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. CAROL JEAN MARKIEWICZ
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 231-777-2748
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 5101006848
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------