Clarkston Lakes Family Medicine Llc
LBN: Clarkston Lakes Family Medicine Llc
Clarkston Lakes Family Medicine Llc is an health care organization with primary practice located at 6483 Citation Dr Suite B, Clarkston MI 48346-2994. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Clarkston Lakes Family Medicine Llc can be contacted via phone (248) 922-3074, or through Blanchard, John A via phone (248) 922-3074.
Contact Information
Primary practice address
6483 Citation Dr Suite B
Clarkston MI 48346-2994
Phone: (248) 922-3074
Fax: (248) 922-3081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | JB067853 | Michigan |
Profile Details
| NPI number | 1457359267 |
|---|---|
| LBN Legal business name | Clarkston Lakes Family Medicine Llc |
| DBA Doing business as | |
| Authorized official | Blanchard, John A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457359267 | NPPES |
| Michigan | Other | 080F320090 | BCN |
| Michigan | MEDICAID | 1457359267 | BCN |
| Michigan | Other | CK5028 | BCN |
| Michigan | Other | 080F320090 | BCN |
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