Dr. D. M. Elem Pc

LBN: Dr. D. M. Elem Pc
Dr. D. M. Elem Pc is an health care organization with primary practice located at 1111 Fort St , Lincoln Park MI 48146-1802. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty. Dr. D. M. Elem Pc can be contacted via phone (313) 386-0000, or through Elem-Vaughn, Durene Michelle via phone (313) 386-0000.

Contact Information

Primary practice address
1111 Fort St Lincoln Park MI 48146-1802
Fax: (313) 386-1597
Website:
Authorized official contact:
Name: Elem-Vaughn, Durene Michelle Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901001503 Michigan

Profile Details

NPI number 1063468387
LBN Legal business name Dr. D. M. Elem Pc
DBA Doing business as
Authorized official Elem-Vaughn, Durene Michelle Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Oct 24th, 2008 - about 16 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 1063468387 NPPES
Michigan Other 4858252150 BLUE CROSS BLUE SHIELD MICHIGAN
Michigan MEDICAID 2710766 BLUE CROSS BLUE SHIELD MICHIGAN

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