A.W.C. Fairclough Md Pc
LBN: A.W.C. Fairclough Md Pc
A.W.C. Fairclough Md Pc is an health care organization with primary practice located at 989 University Dr Suite 107, Pontiac MI 48342-1885. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
A.W.C. Fairclough Md Pc can be contacted via phone (248) 334-4773, or through Fariclough, Anthony via phone (248) 334-4773.
Contact Information
Primary practice address
989 University Dr Suite 107
Pontiac MI 48342-1885
Phone: (248) 334-4773
Fax: (248) 334-8230
Website:
Authorized official contact:
Name: Fariclough, Anthony Doctor of Medicine (MD)
Phone: (248) 334-4773
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | AF036119 | Michigan |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | AF036119 | Michigan |
Profile Details
| NPI number | 1104144526 |
|---|---|
| LBN Legal business name | A.W.C. Fairclough Md Pc |
| DBA Doing business as | |
| Authorized official | Fariclough, Anthony Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2010 |
| Last updated | Jul 27th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104144526 | NPPES |
| Michigan | Other | 0637997 | BCBS |
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