Downriver Clinic Pc
LBN: Downriver Clinic Pc
Downriver Clinic Pc is an health care organization with primary practice located at 8944 Macomb St , Grosse Ile MI 48138-2089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Downriver Clinic Pc can be contacted via phone (734) 675-0705, or through Khaled, Mounir via phone (734) 675-0705.
Contact Information
Primary practice address
8944 Macomb St
Grosse Ile MI 48138-2089
Phone: (734) 675-0705
Fax: (734) 675-0747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301091157 | Michigan |
Profile Details
NPI number | 1205073285 |
---|---|
LBN Legal business name | Downriver Clinic Pc |
DBA Doing business as | |
Authorized official | Khaled, Mounir Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 14th, 2009 |
Last updated | Jul 15th, 2010 - about 15 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 | 1205073285 | NPPES |
Michigan | MEDICAID | 1205073285 | |
Michigan | Other | 259686 | |
Michigan | Other | DO7341 | |
Michigan | Other | 174382 | |
Michigan | Other | 614738100 | |
Michigan | Other | 110H242960 | |
Michigan | Other | 82028050 |
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