Organization Active NPI

Girls Just Wanna Have Fun, PLLC

  • Medical Specialty Clinic/Center
  • Midland, MI
National Provider Identifier
1326230012
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GIRLS JUST WANNA HAVE FUN, PLLC
Practice address
4800 N Saginaw Rd
Midland, MI 48640-2953
Phone
(989) 631-4545
Fax
(989) 631-9949
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Jan Drlik, MD
Title
Resident Agent
Phone
(989) 631-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4800 N Saginaw Rd
Midland, MI 48640-2953

Mailing address

4800 N Saginaw Rd
Midland, MI 48640-2953
Phone (989) 631-4545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1326230012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402953",
            "telephone_number": "989-631-4545",
            "fax_number": "989-631-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402953",
            "telephone_number": "989-631-4545",
            "fax_number": "989-631-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRLS JUST WANNA HAVE FUN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "DRLIK",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "989-631-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.