None

LBN: Alex Mataverde Md Pc
None is an health care organization with primary practice located at 15101 Southfield Rd , Allen Park MI 48101-2697. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Alex Mataverde Md Pc can be contacted via phone (313) 336-3180, or through Mataverde, Alex Q via phone (313) 336-3180.

Contact Information

Primary practice address
15101 Southfield Rd Allen Park MI 48101-2697
Phone: (313) 336-3180
Fax: (313) 593-4648
Website:
Map and Directions
Authorized official contact:
Name: Mataverde, Alex Q Doctor of Medicine (MD)
Phone: (313) 336-3180

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301031512 Michigan

Profile Details

NPI number 1417270018
LBN Legal business name Alex Mataverde Md Pc
DBA Doing business as None
Authorized official Mataverde, Alex Q Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2010
Last updated May 19th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417270018 NPPES
Michigan MEDICAID 1430258
Michigan Other 4301031512

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