Dearborn Pediatric & Adolescent Medical Center, Pc
LBN: Dearborn Pediatric & Adolescent Medical Center, Pc
Dearborn Pediatric & Adolescent Medical Center, Pc is an health care organization with primary practice located at 6620 Schaefer Rd , Dearborn MI 48126-4502. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Dearborn Pediatric & Adolescent Medical Center, Pc can be contacted via phone (313) 582-3700, or through Elhasan-Fakih, Lobna R via phone (313) 582-3700.
Contact Information
Primary practice address
6620 Schaefer Rd
Dearborn MI 48126-4502
Phone: (313) 582-3700
Fax: (313) 582-3301
Website:
Authorized official contact:
Name: Elhasan-Fakih, Lobna R Doctor of Medicine (MD)
Phone: (313) 582-3700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 4301064108 | Michigan |
Profile Details
| NPI number | 1427056068 |
|---|---|
| LBN Legal business name | Dearborn Pediatric & Adolescent Medical Center, Pc |
| DBA Doing business as | |
| Authorized official | Elhasan-Fakih, Lobna R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jan 5th, 2011 - about 13 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 | 1427056068 | NPPES |
| Michigan | MEDICAID | 4713462 | |
| Michigan | MEDICAID | 3479230 |
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