Northeast Family Dermatology Center

LBN: Lenise A. Banse, M.D.,P.C.
Northeast Family Dermatology Center is an health care organization with primary practice located at 42452 Hayes Rd Suite 3, Clinton Township MI 48038-6771. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Lenise A. Banse, M.D.,P.C. can be contacted via phone (586) 263-3130, or through Banse, Lenise via phone (586) 263-3130.

Contact Information

Primary practice address
42452 Hayes Rd Suite 3 Clinton Township MI 48038-6771
Phone: (586) 263-3130
Fax: (586) 263-5183
Website:
Map and Directions
Authorized official contact:
Name: Banse, Lenise Doctor of Medicine (MD)
Phone: (586) 263-3130

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301047653 Michigan
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 4301047653 Michigan
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 4301047653 Michigan

Profile Details

NPI number 1811041890
LBN Legal business name Lenise A. Banse, M.D.,P.C.
DBA Doing business as Northeast Family Dermatology Center
Authorized official Banse, Lenise Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 25th, 2010 - 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 1811041890 NPPES
Massachusetts Other 101151 PREFERRED CHOICES
Massachusetts Other 0500688 PREFERRED CHOICES
Massachusetts Other 4037111 PREFERRED CHOICES
Massachusetts Other 131180573496 PREFERRED CHOICES
Massachusetts Other DR500262 PREFERRED CHOICES
Massachusetts Other 0705006881 PREFERRED CHOICES
Massachusetts Other 900013288 PREFERRED CHOICES
Massachusetts Other 101151 PREFERRED CHOICES
Massachusetts Other 131180573496 PREFERRED CHOICES
Massachusetts Other 155665 PREFERRED CHOICES
Massachusetts Other 0500688001 PREFERRED CHOICES
Massachusetts MEDICAID 2806900 PREFERRED CHOICES
Massachusetts Other 80862B PREFERRED CHOICES
Massachusetts Other MO22874 PREFERRED CHOICES

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