Great Lakes Physiatrists Pc

LBN: Great Lakes Physiatrists Pc
Great Lakes Physiatrists Pc is an health care organization with primary practice located at 25311 Little Mack Ave Suite B, St Clair Shores MI 48081. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Great Lakes Physiatrists Pc can be contacted via phone (586) 498-2400, or through Pollina, Frank S via phone (586) 498-2400.

Contact Information

Primary practice address
25311 Little Mack Ave Suite B St Clair Shores MI 48081
Phone: (586) 498-2400
Fax: (586) 498-2800
Website:
Map and Directions
Authorized official contact:
Name: Pollina, Frank S Doctor of Medicine (MD)
Phone: (586) 498-2400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301045967 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1811096548
LBN Legal business name Great Lakes Physiatrists Pc
DBA Doing business as
Authorized official Pollina, Frank S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 14th, 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 1811096548 NPPES
Michigan MEDICAID 1811096548

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