=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962601245
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORTHOPEDIC ASSOCIATES OF HOLLAND PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2007
-----------------------------------------------------
Last Update Date | 08/09/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 555 N BRADLEY HWY SUITE C
-----------------------------------------------------
City | ROGERS CITY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49779-1539
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-595-2820
-----------------------------------------------------
Fax | 989-595-3437
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18118 WARREN CREEK HWY
-----------------------------------------------------
City | PRESQUE ISLE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49777-8353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-595-2820
-----------------------------------------------------
Fax | 989-595-3437
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. EARL S RHIND II
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 989-595-2820
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | ER026640
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------