David W Blodgett Md Pllc

LBN: David W Blodgett Md Pllc
David W Blodgett Md Pllc is an health care organization with primary practice located at 375 Barclay Dr. , Rochester Hills MI 48307. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. David W Blodgett Md Pllc can be contacted via phone (248) 852-3636, or through Blodgett, David W via phone (248) 761-5573.

Contact Information

Primary practice address
375 Barclay Dr. Rochester Hills MI 48307
Phone: (248) 852-3636
Fax: (248) 852-3631
Website:
Map and Directions
Authorized official contact:
Name: Blodgett, David W Doctor of Medicine (MD)
Phone: (248) 761-5573

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301075561 Michigan

Profile Details

NPI number 1790052082
LBN Legal business name David W Blodgett Md Pllc
DBA Doing business as
Authorized official Blodgett, David W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 14 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 1790052082 NPPES
Michigan MEDICAID 005491912

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