Leonard Ellison Jr Md Pc

LBN: Leonard Ellison Jr Md Pc
Leonard Ellison Jr Md Pc is an health care organization with primary practice located at 17330 Northland Park Ct , Southfield MI 48075-4318. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Leonard Ellison Jr Md Pc can be contacted via phone (248) 552-9500, or through Ellison, Leonard via phone (248) 552-9500.

Contact Information

Primary practice address
17330 Northland Park Ct Southfield MI 48075-4318
Phone: (248) 552-9500
Fax: (248) 552-8144
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Leonard Doctor of Medicine (MD)
Phone: (248) 552-9500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301068024 Michigan

Profile Details

NPI number 1609821537
LBN Legal business name Leonard Ellison Jr Md Pc
DBA Doing business as
Authorized official Ellison, Leonard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Dec 27th, 2013 - about 12 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 1609821537 NPPES
Michigan Other 500F382740 BCBS GROUP
Michigan Other 110F312710 BCBS GROUP
Michigan MEDICAID 4709307 BCBS GROUP

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