Brian E. Homer

LBN: Allen Park Footcare Specialist Pllc
Brian E. Homer is an health care organization with primary practice located at 19250 Ecorse Rd , Allen Park MI 48101-2260. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Podiatric, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Ambulatory Health Care Facilities / Podiatric is the primary health care specialty. Allen Park Footcare Specialist Pllc can be contacted via phone (313) 294-9700, or through Homer, Brian E via phone (248) 288-8900.

Contact Information

Primary practice address
19250 Ecorse Rd Allen Park MI 48101-2260
Phone: (313) 294-9700
Fax: (313) 294-9700
Website:
Map and Directions
Authorized official contact:
Name: Homer, Brian E D.P.M, P.C.
Phone: (248) 288-8900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 5901001699 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5901001699 Michigan
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 5901001699 Michigan

Profile Details

NPI number 1790883056
LBN Legal business name Allen Park Footcare Specialist Pllc
DBA Doing business as Brian E. Homer
Authorized official Homer, Brian E D.P.M, P.C.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 9th, 2011 - about 13 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 1790883056 NPPES
Michigan MEDICAID 133153308
Michigan Other 4319060001
Michigan Other 0H20650
Michigan Other P00102057
Michigan Other 0H218370

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