| NPI | 1326587114 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-02-14 |
| Last Updated | 2023-03-25 |
| Authorized Official | Rachel Lethorn CEO / Owner Phone: 8106263036 |
| Mailing Address | 210 S East St Ste 2 Brighton, MI 48116-1592 United States Phone: (810) 626-3036 | Fax: (810) 202-1130 📍 View Map |
| Primary Practice Address | 210 S East St Ste 2 Brighton, MI 48116-1592 United States Phone: (810) 626-3036 | Fax: (810) 202-1130 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RA0401X – Internal Medicine, Addiction Medicine | MI | 5601003608 |
| No | 261QM2500X – Clinic/Center, Medical Specialty | MI | 5601003608 |
| No | 363A00000X – Physician Assistant | MI | 5601003608 |
| Yes | 261QP2300X – Clinic/Center, Primary Care | - | - |
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About NPI 1326587114
Med Sports Vantage Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1326587114. The primary specialty listed is Clinic/Center, Primary Care. The organization is located in Brighton, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-02-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1326587114?
NPI 1326587114 belongs to Med Sports Vantage Pllc, a Clinic/Center, Primary Care in Brighton, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1326587114 active?
The current status of NPI 1326587114 in the NPPES registry is Active. The record was last updated on 2023-03-25.
What specialty is NPI 1326587114?
NPI 1326587114 is classified under the taxonomy Clinic/Center, Primary Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1326587114?
You can verify NPI 1326587114 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1326587114?
The primary practice address on file for NPI 1326587114 is 210 S East St Ste 2, Brighton, MI 48116-1592. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1326587114 issued?
NPI 1326587114 was first issued (enumerated) on 2017-02-14. The NPPES record was last updated on 2023-03-25.
Practice Location Map
Med Sports Vantage Pllc is located at 210 S East St Ste 2, Brighton, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Med Sports Vantage Pllc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1326587114. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Addiction Medicine | 5601003608 | MI |
| Clinic/Center, Medical Specialty | 5601003608 | MI |
| Physician Assistant | 5601003608 | MI |