Lakeview Podiatry Assoc P C

LBN: Lakeview Podiatry Assoc P C
Lakeview Podiatry Assoc P C is an health care organization with primary practice located at 22250 Providence Dr Ste 100 , Southfield MI 48075-6209. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Lakeview Podiatry Assoc P C can be contacted via phone (248) 424-8637, or through Pupp, Guy via phone (248) 424-8637.

Contact Information

Primary practice address
22250 Providence Dr Ste 100 Southfield MI 48075-6209
Fax: (248) 424-8663
Website:
Authorized official contact:
Name: Pupp, Guy Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901000690 Michigan

Profile Details

NPI number 1518992536
LBN Legal business name Lakeview Podiatry Assoc P C
DBA Doing business as
Authorized official Pupp, Guy Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 17th, 2017 - about 8 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 1518992536 NPPES
Michigan Other 0M07610 MEDICARE
Michigan Other 0H2788 MEDICARE
Michigan MEDICAID 4275305 MEDICARE
Michigan Other T34213 MEDICARE

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