Lakestate Industries

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

LAKESTATE INDUSTRIES

Practice address

1830 N 21St St
Escanaba, MI 49829-9586

Phone

(906) 786-9212

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Cheryl Gerise Ohman

Title

Executive Director

Phone

(906) 786-9212

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1578108643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498290279",
            "telephone_number": "906-786-9212",
            "fax_number": "906-789-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 N 21ST ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299586",
            "telephone_number": "906-786-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESTATE INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "OHMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "GERISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-786-9212"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherylo@lakestateindustries.org",
            "affiliation": "N",
            "address_1": "1830 N 21st St",
            "city": "Escanaba",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498299586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Day Training/Habilitation Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.