Provider Demographics
NPI:1053743492
Name:BIBLICAL HEALTH LLC
Entity type:Organization
Organization Name:BIBLICAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF NEDICINE
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LAUDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:810-503-4056
Mailing Address - Street 1:10098 E ATHERTON RD
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-8704
Mailing Address - Country:US
Mailing Address - Phone:810-503-4056
Mailing Address - Fax:810-503-4314
Practice Address - Street 1:10098 E ATHERTON RD
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-8704
Practice Address - Country:US
Practice Address - Phone:810-503-4056
Practice Address - Fax:810-503-4314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND100198174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty