Jacqueline Phillips Dpm Inc

LBN: Jacqueline Phillips Dpm Inc
Jacqueline Phillips Dpm Inc is an health care organization with primary practice located at 5575 Conner St Suite 203, Detroit MI 48213-6400. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Jacqueline Phillips Dpm Inc can be contacted via phone (313) 345-4449, or through Phillips, Jacqueline via phone (313) 345-4449.

Contact Information

Primary practice address
5575 Conner St Suite 203 Detroit MI 48213-6400
Phone: (313) 345-4449
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jacqueline Doctor of Podiatric Medicine (DPM)
Phone: (313) 345-4449

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001422 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5901001422 Michigan

Profile Details

NPI number 1821027756
LBN Legal business name Jacqueline Phillips Dpm Inc
DBA Doing business as
Authorized official Phillips, Jacqueline Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Dec 9th, 2011 - about 14 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 1821027756 NPPES
Michigan Other 480H232340 BCBS PIN
Michigan MEDICAID 134313228 BCBS PIN

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