Gfc Of Southeastern Michigan, Pc

LBN: Gfc Of Southeastern Michigan, Pc
Gfc Of Southeastern Michigan, Pc is an health care organization with primary practice located at 15 E Kirby St Suite 102, Detroit MI 48202-4047. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Prosthetic/Orthotic Supplier. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Gfc Of Southeastern Michigan, Pc can be contacted via phone (313) 833-3090, or through Mehta, Manisha via phone (313) 833-3090.

Contact Information

Primary practice address
15 E Kirby St Suite 102 Detroit MI 48202-4047
Fax: (313) 833-7843
Website:
Authorized official contact:
Name: Mehta, Manisha Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002275 Michigan
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1316191679
LBN Legal business name Gfc Of Southeastern Michigan, Pc
DBA Doing business as
Authorized official Mehta, Manisha Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2008
Last updated Jan 3rd, 2014 - about 10 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 1316191679 NPPES
Michigan MEDICAID 1417136029
Michigan Other 82028141
Michigan Other 1316191679

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