Andrew J Smith Jr Md Memorial Group
LBN: Andrew J Smith Jr Md Memorial Group
Andrew J Smith Jr Md Memorial Group is an health care organization with primary practice located at 23077 Greenfield Rd Ste 200, Southfield MI 48075-3709. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Andrew J Smith Jr Md Memorial Group can be contacted via phone (248) 424-8888, or through Gordon, J Gwendolyn via phone (248) 424-8888.
Contact Information
Primary practice address
23077 Greenfield Rd Ste 200
Southfield MI 48075-3709
Phone: (248) 424-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Other Service Providers / Specialist | 174400000X | JG023085 | Michigan |
| Other Service Providers / Specialist | 174400000X | EC066609 | Michigan |
Profile Details
| NPI number | 1336362532 |
|---|---|
| LBN Legal business name | Andrew J Smith Jr Md Memorial Group |
| DBA Doing business as | |
| Authorized official | Gordon, J Gwendolyn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Mar 6th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336362532 | NPPES |
| Michigan | MEDICAID | 451303110 | |
| Michigan | MEDICAID | 450374110 |
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