Ferrara Dermatology Clinic Pc

LBN: Ferrara Dermatology Clinic Pc
Ferrara Dermatology Clinic Pc is an health care organization with primary practice located at 20045 Mack Ave , Grosse Pointe Woods MI 48236-2322. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ferrara Dermatology Clinic Pc can be contacted via phone (313) 884-5100, or through Ferrara Jr, Richard John via phone (313) 884-5100.

Contact Information

Primary practice address
20045 Mack Ave Grosse Pointe Woods MI 48236-2322
Phone: (313) 884-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ferrara Jr, Richard John Doctor of Medicine (MD)
Phone: (313) 884-5100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301057129 Michigan

Profile Details

NPI number 1629169578
LBN Legal business name Ferrara Dermatology Clinic Pc
DBA Doing business as
Authorized official Ferrara Jr, Richard John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1629169578 NPPES
Michigan MEDICAID 2774745

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