Anne-Mare Ice Md Pc

LBN: Anne-Mare Ice Md Pc
Anne-Mare Ice Md Pc is an health care organization with primary practice located at 22341 W 8 Mile Rd , Detroit MI 48219-1217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Anne-Mare Ice Md Pc can be contacted via phone (313) 255-2209, or through Hill, Kassandra A via phone (313) 255-4672.

Contact Information

Primary practice address
22341 W 8 Mile Rd Detroit MI 48219-1217
Phone: (313) 255-2209
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hill, Kassandra A
Phone: (313) 255-4672

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301031683 Michigan

Profile Details

NPI number 1639347586
LBN Legal business name Anne-Mare Ice Md Pc
DBA Doing business as
Authorized official Hill, Kassandra A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Feb 13th, 2008 - about 16 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 1639347586 NPPES
Michigan MEDICAID 1066910
Michigan Other 0H27243

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