Provider Demographics
NPI:1962601245
Name:ORTHOPEDIC ASSOCIATES OF HOLLAND PC
Entity type:Organization
Organization Name:ORTHOPEDIC ASSOCIATES OF HOLLAND PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:S
Authorized Official - Last Name:RHIND
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:989-595-2820
Mailing Address - Street 1:18118 WARREN CREEK HWY
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:MI
Mailing Address - Zip Code:49777-8353
Mailing Address - Country:US
Mailing Address - Phone:989-595-2820
Mailing Address - Fax:989-595-3437
Practice Address - Street 1:555 N BRADLEY HWY
Practice Address - Street 2:SUITE C
Practice Address - City:ROGERS CITY
Practice Address - State:MI
Practice Address - Zip Code:49779-1539
Practice Address - Country:US
Practice Address - Phone:989-595-2820
Practice Address - Fax:989-595-3437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIER026640207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1274331Medicaid
MI1831287333OtherPROVIDER NPI
MI1274331Medicaid
MIB45995Medicare UPIN