Provider Demographics
NPI:1992878383
Name:WOMEN'S HEALTH SPECIALISTS, P.C.
Entity type:Organization
Organization Name:WOMEN'S HEALTH SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:231-779-1167
Mailing Address - Street 1:7800 US HIGHWAY 131 S
Mailing Address - Street 2:SUITE C
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-8437
Mailing Address - Country:US
Mailing Address - Phone:231-779-1167
Mailing Address - Fax:231-779-1175
Practice Address - Street 1:7800 US HIGHWAY 131 S
Practice Address - Street 2:SUITE C
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8437
Practice Address - Country:US
Practice Address - Phone:231-779-1167
Practice Address - Fax:231-779-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006859174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty