Liberty Cardiolvascular Group Pllc

LBN: Liberty Cardiolvascular Group Pllc
Liberty Cardiolvascular Group Pllc is an health care organization with primary practice located at 5250 Auto Club Dr Ste 300L , Dearborn MI 48126-2619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Liberty Cardiolvascular Group Pllc can be contacted via phone (313) 593-8988, or through Cassel, Prudy A via phone (313) 724-9000.

Contact Information

Primary practice address
5250 Auto Club Dr Ste 300L Dearborn MI 48126-2619
Phone: (313) 593-8988
Fax: (313) 982-1541
Website:
Map and Directions
Authorized official contact:
Name: Cassel, Prudy A
Phone: (313) 724-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301056091 Michigan

Profile Details

NPI number 1841719531
LBN Legal business name Liberty Cardiolvascular Group Pllc
DBA Doing business as
Authorized official Cassel, Prudy A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2017
Last updated Jul 21st, 2022 - about 3 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 1841719531 NPPES
Michigan MEDICAID 4715912

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