Provider Demographics
NPI:1962418798
Name:WEST SHORE MEDICAL & PERSONNEL SERVICES, INC.
Entity type:Organization
Organization Name:WEST SHORE MEDICAL & PERSONNEL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-755-0637
Mailing Address - Street 1:941 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-3521
Mailing Address - Country:US
Mailing Address - Phone:231-755-0637
Mailing Address - Fax:231-755-6208
Practice Address - Street 1:941 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-3521
Practice Address - Country:US
Practice Address - Phone:231-755-0637
Practice Address - Fax:231-755-6208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health