Edgewood Clinic

LBN: East Side Medical Services P C
Edgewood Clinic is an health care organization with primary practice located at 22790 Harper Ave Suite A, Saint Clair Shores MI 48080-1831. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. East Side Medical Services P C can be contacted via phone (586) 445-3070, or through Jafri, Mohd S via phone (586) 445-3070.

Contact Information

Primary practice address
22790 Harper Ave Suite A Saint Clair Shores MI 48080-1831
Phone: (586) 445-3070
Fax: (586) 445-3072
Website:
Map and Directions
Authorized official contact:
Name: Jafri, Mohd S Doctor of Medicine (MD)
Phone: (586) 445-3070

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301031532 Michigan

Profile Details

NPI number 1629384144
LBN Legal business name East Side Medical Services P C
DBA Doing business as Edgewood Clinic
Authorized official Jafri, Mohd S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2010
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629384144 NPPES
Michigan MEDICAID 1285498

Popular Providers