Corlett & Mintek PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301053933 Issued in MI

Legal business name

CORLETT & MINTEK PLLC

Practice address

300 Chestnut St
Allegan, MI 49010-1316

Phone

(269) 686-0600

NPI assigned

Nov 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Paula Mintek

Title

Officer/Office Manager

Phone

(269) 686-0600

Specialties & licenses 1

Addresses

Other names 1

• Downtown Allegan Family Practice Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1275834376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 KALAMAZOO ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101664",
            "telephone_number": "269-686-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHESTNUT ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101316",
            "telephone_number": "269-686-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLETT & MINTEK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "MINTEK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICER/OFFICE MANAGER",
        "authorized_official_telephone_number": "269-686-0600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301053933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Allegan Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Allegan, MI
• Providers in Allegan, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.