Bruce Tabak, D.P.M.

LBN: Bruce Tabak, D.P.M.
Bruce Tabak, D.P.M. is an health care organization with primary practice located at 129 S Washington St , Oxford MI 48371-4981. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Bruce Tabak, D.P.M. can be contacted via phone (248) 628-1880, or through Tabak, Bruce via phone (248) 628-1880.

Contact Information

Primary practice address
129 S Washington St Oxford MI 48371-4981
Phone: (248) 628-1880
Fax: (248) 628-1881
Website:
Map and Directions
Authorized official contact:
Name: Tabak, Bruce Doctor of Podiatric Medicine (DPM)
Phone: (248) 628-1880

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 5901400128 Michigan

Profile Details

NPI number 1093901795
LBN Legal business name Bruce Tabak, D.P.M.
DBA Doing business as
Authorized official Tabak, Bruce Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Jul 23rd, 2012 - about 12 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 1093901795 NPPES
Michigan MEDICAID 3142556

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