Lanzisera, Philip J.
Lanzisera, Philip J. is an individual health care provider with primary practice located at Henry Ford Health System One Ford Place 1F -Behavioral, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lanzisera, Philip J. can be contacted via phone (313) 876-6677.Contact Information
Primary practice address
Henry Ford Health System One Ford Place 1F -Behavioral
Detroit MI 48202
Phone: (313) 876-6677
Fax: (313) 874-6650
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301001788 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301001788 | Michigan |
Profile Details
NPI number | 1093863680 |
---|---|
LBN Legal business name | Lanzisera, Philip J. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Jun 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093863680 | NPPES |
Michigan | MEDICAID | PHD888810 | |
Michigan | Other | PL001788 | |
Michigan | Other | PL001788 | |
Michigan | Other | 700H262290 |
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