Bakke Medical Pc

LBN: Bakke Medical Pc
Bakke Medical Pc is an health care organization with primary practice located at 1039 Washington St , Dearborn MI 48124-2016. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Bakke Medical Pc can be contacted via phone (313) 563-1033, or through Angeles, Daisy S via phone (313) 563-1033.

Contact Information

Primary practice address
1039 Washington St Dearborn MI 48124-2016
Fax: (313) 563-2930
Website:
Authorized official contact:
Name: Angeles, Daisy S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 4301037608 Michigan

Profile Details

NPI number 1265576888
LBN Legal business name Bakke Medical Pc
DBA Doing business as
Authorized official Angeles, Daisy S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Feb 14th, 2019 - about 6 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 1265576888 NPPES
Michigan MEDICAID 1361633

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