Forum Medical Clinic, Pc

LBN: Forum Medical Clinic, Pc
Forum Medical Clinic, Pc is an health care organization with primary practice located at 43184 Dequindre Rd Ste 202 , Sterling Heights MI 48314-1709. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Forum Medical Clinic, Pc can be contacted via phone (586) 580-0280, or through Marsheh, Nicolas A via phone (586) 580-0280.

Contact Information

Primary practice address
43184 Dequindre Rd Ste 202 Sterling Heights MI 48314-1709
Fax: (586) 580-0281
Website:
Authorized official contact:
Name: Marsheh, Nicolas A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X NM 069838 Michigan

Profile Details

NPI number 1992734578
LBN Legal business name Forum Medical Clinic, Pc
DBA Doing business as
Authorized official Marsheh, Nicolas A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1992734578 NPPES
Michigan Other 0E00984 BCBS
Michigan Other 1106348002 BCBS
Michigan MEDICAID 4732824 BCBS

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