| Prosper Health LLC | |
|
5228 Lovers Ln Ste 110 Portage MI 49002-1521 | |
| (269) 312-8648 | |
| (269) 585-6293 |
| Full Name | Prosper Health LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5228 Lovers Ln Ste 110, Portage, Michigan |
| Authorized Official Name and Position | Ryan Michael Ball (CEO/LEAD CLINICIAN) |
| Authorized Official Contact | 2693128648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosper Health LLC 5228 Lovers Ln Ste 110 Portage MI 49002-1521 Ph: (269) 312-8648 | Prosper Health LLC 5228 Lovers Ln Ste 110 Portage MI 49002-1521 Ph: (269) 312-8648 |
| NPI Number | 1548735277 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 10/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548735277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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