Michele Pennington Md Family Medical Pllc
LBN: Michele Pennington Md Family Medical Pllc
Michele Pennington Md Family Medical Pllc is an health care organization with primary practice located at 25775 W 10 Mile Rd Suite B, Southfield MI 48034-4856. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Michele Pennington Md Family Medical Pllc can be contacted via phone (248) 304-9400, or through Pennington, Michele via phone (248) 304-9400.
Contact Information
Primary practice address
25775 W 10 Mile Rd Suite B
Southfield MI 48034-4856
Phone: (248) 304-9400
Fax: (248) 304-9401
Website:
Authorized official contact:
Name: Pennington, Michele Doctor of Medicine (MD)
Phone: (248) 304-9400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301070192 | Michigan |
Profile Details
| NPI number | 1366484693 |
|---|---|
| LBN Legal business name | Michele Pennington Md Family Medical Pllc |
| DBA Doing business as | |
| Authorized official | Pennington, Michele Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Oct 17th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366484693 | NPPES |
| Michigan | Other | 0801975377 | RAILROAD MEDICARE |
| Michigan | Other | 0806346602 | RAILROAD MEDICARE |
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