Dearborn Family Clinic, P.C.

LBN: Dearborn Family Clinic, P.C.
Dearborn Family Clinic, P.C. is an health care organization with primary practice located at 3133 S Telegraph Rd , Dearborn MI 48124-3472. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dearborn Family Clinic, P.C. can be contacted via phone (313) 565-6566, or through Shannon, Claudia S via phone (313) 565-6566.

Contact Information

Primary practice address
3133 S Telegraph Rd Dearborn MI 48124-3472
Fax: (313) 561-5554
Website:
Authorized official contact:
Name: Shannon, Claudia S

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X HW007561 Michigan

Profile Details

NPI number 1013928035
LBN Legal business name Dearborn Family Clinic, P.C.
DBA Doing business as
Authorized official Shannon, Claudia S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 16th, 2022 - about 2 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 1013928035 NPPES
Michigan MEDICAID 4622742
Michigan MEDICAID 1387925

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