Organization
FAMILY FIRST HEALTH CARE CAPAC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN J DECARLO D.O. (OWNER)
(810) 395-4840
Entity
Organization
Contact information
Practice address
117 S MAIN ST, CAPAC, MI 48014-3715
(810) 395-4840
(810) 395-7551
Mailing address
117 S MAIN ST, CAPAC, MI 48014-3715
(810) 395-4840
(810) 395-7551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080G411650
BLUE CARE NETWORK
MI
05
—
114735675
—
MI
05
—
114950369
—
MI
Enumeration date
12/05/2006
Last updated
07/28/2020
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