Great Lakes Physicians Of Southfield, Llc

LBN: Home Clinic Pc
Great Lakes Physicians Of Southfield, Llc is an health care organization with primary practice located at 23999 Northwestern Hwy , Southfield MI 48075-2578. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Home Clinic Pc can be contacted via phone (248) 223-1500, or through Petre, Paul via phone (248) 223-1500.

Contact Information

Primary practice address
23999 Northwestern Hwy Southfield MI 48075-2578
Phone: (248) 223-1500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petre, Paul Doctor of Medicine (MD)
Phone: (248) 223-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1710202825
LBN Legal business name Home Clinic Pc
DBA Doing business as Great Lakes Physicians Of Southfield, Llc
Authorized official Petre, Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 31st, 2010
Last updated Mar 7th, 2011 - about 13 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 1710202825 NPPES
Other MI1676 PTAN

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