Farmbrook Family Practice Pllc

LBN: Farmbrook Family Practice Pllc
Farmbrook Family Practice Pllc is an health care organization with primary practice located at 29877 Telegraph Rd Suite 302, Southfield MI 48034-1332. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Farmbrook Family Practice Pllc can be contacted via phone (248) 796-7486, or through Katychev, Andrei via phone (248) 470-6038.

Contact Information

Primary practice address
29877 Telegraph Rd Suite 302 Southfield MI 48034-1332
Phone: (248) 796-7486
Fax: (248) 350-3519
Website:
Map and Directions
Authorized official contact:
Name: Katychev, Andrei Doctor of Medicine (MD)
Phone: (248) 470-6038

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 4301085733 Michigan

Profile Details

NPI number 1417384199
LBN Legal business name Farmbrook Family Practice Pllc
DBA Doing business as
Authorized official Katychev, Andrei Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2013
Last updated Apr 28th, 2016 - about 9 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 1417384199 NPPES
Michigan MEDICAID 1417384199

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