Corondan Medical Pc Corp

LBN: Corondan Medical Pc Corp
Corondan Medical Pc Corp is an health care organization with primary practice located at 14050 E 14 Mile Rd , Warren MI 48088-5765. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Corondan Medical Pc Corp can be contacted via phone (586) 920-2249, or through Corondan, Victor I via phone (248) 837-9419.

Contact Information

Primary practice address
14050 E 14 Mile Rd Warren MI 48088-5765
Fax:
Website:
Authorized official contact:
Name: Corondan, Victor I Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 4301059864 Michigan

Profile Details

NPI number 1851715585
LBN Legal business name Corondan Medical Pc Corp
DBA Doing business as
Authorized official Corondan, Victor I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2014
Last updated Apr 24th, 2014 - about 10 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 1851715585 NPPES
Michigan MEDICAID 321078

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