Davenport Ferguson Physician Group Pllc
LBN: Davenport Ferguson Physician Group Pllc
Davenport Ferguson Physician Group Pllc is an health care organization with primary practice located at 15565 Northland Dr Suite 204, Southfield MI 48075-5310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Davenport Ferguson Physician Group Pllc can be contacted via phone (248) 423-4477, or through Ferguson, Margo Kimberlee via phone (248) 968-4470.
Contact Information
Primary practice address
15565 Northland Dr Suite 204
Southfield MI 48075-5310
Phone: (248) 423-4477
Fax: (248) 423-4488
Website:
Authorized official contact:
Name: Ferguson, Margo Kimberlee Doctor of Medicine (MD)
Phone: (248) 968-4470
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301061334 | Michigan |
Profile Details
| NPI number | 1568446409 |
|---|---|
| LBN Legal business name | Davenport Ferguson Physician Group Pllc |
| DBA Doing business as | |
| Authorized official | Ferguson, Margo Kimberlee Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jun 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568446409 | NPPES |
| Michigan | MEDICAID | 4495238-10 | |
| Michigan | Other | 080F300760 | |
| Michigan | Other | 080F300760 |
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