Eastside Trauma & Specialty Surgeons

LBN: Eastside Trauma & Specialty Surgeons
Eastside Trauma & Specialty Surgeons is an health care organization with primary practice located at 24911 Little Mack Ave Suite B, Saint Clair Shores MI 48080-3200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Eastside Trauma & Specialty Surgeons can be contacted via phone (586) 774-8811, or through Hawasli, Abdelkader via phone (586) 774-8811.

Contact Information

Primary practice address
24911 Little Mack Ave Suite B Saint Clair Shores MI 48080-3200
Phone: (586) 774-8811
Fax: (586) 774-6773
Website:
Map and Directions
Authorized official contact:
Name: Hawasli, Abdelkader Doctor of Medicine (MD)
Phone: (586) 774-8811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1730395419
LBN Legal business name Eastside Trauma & Specialty Surgeons
DBA Doing business as
Authorized official Hawasli, Abdelkader Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1730395419 NPPES
Michigan Other 0H20098 BCBSM GROUP #

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