East Lansing Orthopedic Association P C

LBN: East Lansing Orthopedic Association P C
East Lansing Orthopedic Association P C is an health care organization with primary practice located at 3394 E Jolly Rd Ste A, Lansing MI 48910-8595. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. East Lansing Orthopedic Association P C can be contacted via phone (517) 394-3200, or through Detrisac, David A via phone (517) 394-3200.

Contact Information

Primary practice address
3394 E Jolly Rd Ste A Lansing MI 48910-8595
Fax: (517) 394-4250
Website:
Authorized official contact:
Name: Detrisac, David A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1366448037
LBN Legal business name East Lansing Orthopedic Association P C
DBA Doing business as
Authorized official Detrisac, David A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Dec 13th, 2018 - about 6 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 1366448037 NPPES
Michigan Other G04755 GROUP BCN
Michigan Other 20-0C3-1063-0 GROUP BCN

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