Guanco Clinic Pc

LBN: Guanco Clinic Pc
Guanco Clinic Pc is an health care organization with primary practice located at 47100 Schoenherr Rd Suite B, Shelby Township MI 48315-4716. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Guanco Clinic Pc can be contacted via phone (586) 566-6880, or through Guanco, Kirk via phone (586) 566-6880.

Contact Information

Primary practice address
47100 Schoenherr Rd Suite B Shelby Township MI 48315-4716
Phone: (586) 566-6880
Fax: (586) 566-6882
Website:
Map and Directions
Authorized official contact:
Name: Guanco, Kirk
Phone: (586) 566-6880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301031105 Michigan

Profile Details

NPI number 1548442072
LBN Legal business name Guanco Clinic Pc
DBA Doing business as
Authorized official Guanco, Kirk
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 17 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 1548442072 NPPES
Michigan MEDICAID 2107150

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