Alpha And Omega Primary Health Care Inc

LBN: Alpha And Omega Primary Health Care Inc
Alpha And Omega Primary Health Care Inc is an health care organization with primary practice located at 15865 Wyoming St , Detroit MI 48238-1136. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Alpha And Omega Primary Health Care Inc can be contacted via phone (313) 342-2576, or through Hardaway, Rickie via phone (313) 342-2576.

Contact Information

Primary practice address
15865 Wyoming St Detroit MI 48238-1136
Phone: (313) 342-2576
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hardaway, Rickie Doctor of Medicine (MD)
Phone: (313) 342-2576

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301061729 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301061729 Michigan

Profile Details

NPI number 1770752495
LBN Legal business name Alpha And Omega Primary Health Care Inc
DBA Doing business as
Authorized official Hardaway, Rickie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Apr 29th, 2008 - about 17 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 1770752495 NPPES
Michigan MEDICAID 1316903198

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