Dearborn Podiatric Surgeons, P.C.

LBN: Dearborn Podiatric Surgeons, P.C.
Dearborn Podiatric Surgeons, P.C. is an health care organization with primary practice located at 22161 Outer Dr , Dearborn MI 48124-3901. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Dearborn Podiatric Surgeons, P.C. can be contacted via phone (313) 565-8080, or through Young, Lawrence A. via phone (313) 565-8080.

Contact Information

Primary practice address
22161 Outer Dr Dearborn MI 48124-3901
Fax: (313) 565-2417
Website:
Authorized official contact:
Name: Young, Lawrence A. Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901000652 Michigan

Profile Details

NPI number 1447467485
LBN Legal business name Dearborn Podiatric Surgeons, P.C.
DBA Doing business as
Authorized official Young, Lawrence A. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1447467485 NPPES
Michigan MEDICAID 1062616
Michigan Other 5825276
Michigan Other 112003

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