Medical Rehabilitation Group Pc

LBN: Medical Rehabilitation Group Pc
Medical Rehabilitation Group Pc is an health care organization with primary practice located at 4632 Genesys Pkwy , Grand Blanc MI 48439-8067. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Medical Rehabilitation Group Pc can be contacted via phone (810) 606-7181, or through Kovan, Richard Jay via phone (810) 606-7181.

Contact Information

Primary practice address
4632 Genesys Pkwy Grand Blanc MI 48439-8067
Phone: (810) 606-7181
Fax: (810) 606-5803
Website:
Map and Directions
Authorized official contact:
Name: Kovan, Richard Jay Doctor of Medicine (MD)
Phone: (810) 606-7181

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301055356 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101011645 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301072856 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101011977 Michigan

Profile Details

NPI number 1700833563
LBN Legal business name Medical Rehabilitation Group Pc
DBA Doing business as
Authorized official Kovan, Richard Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Feb 4th, 2009 - about 16 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 1700833563 NPPES
Michigan MEDICAID 4510933
Michigan MEDICAID 3477280
Michigan MEDICAID 2984537
Michigan MEDICAID 4614885

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