Hoberman Clinic

LBN: Hoberman Clinic
Hoberman Clinic is an health care organization with primary practice located at 1800 Grindley Park St Suite 3, Dearborn MI 48124-2553. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Hoberman Clinic can be contacted via phone (313) 277-1166, or through Hoberman, Melvin via phone (313) 277-1166.

Contact Information

Primary practice address
1800 Grindley Park St Suite 3 Dearborn MI 48124-2553
Fax: (313) 277-3414
Website:
Authorized official contact:
Name: Hoberman, Melvin MA, LLP, LCSW, CAAC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6301002903 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6301002903 Michigan

Profile Details

NPI number 1871864579
LBN Legal business name Hoberman Clinic
DBA Doing business as
Authorized official Hoberman, Melvin MA, LLP, LCSW, CAAC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2012
Last updated Jan 26th, 2012 - about 12 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 1871864579 NPPES
Michigan Other 195511 VALUE OPTIONS
Michigan Other 0007263796 VALUE OPTIONS
Michigan Other 0897467 VALUE OPTIONS

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