Michigan Pediatric Ent Associates, Pllc

LBN: Michigan Pediatric Ent Associates, Pllc
Michigan Pediatric Ent Associates, Pllc is an health care organization with primary practice located at 7001 Orchard Lake Rd Suite 320C, West Bloomfield MI 48322-3604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as the primary health care specialty. Michigan Pediatric Ent Associates, Pllc can be contacted via phone (248) 571-3600, or through Denhardt, Lynn via phone (248) 847-3210.

Contact Information

Primary practice address
7001 Orchard Lake Rd Suite 320C West Bloomfield MI 48322-3604
Phone: (248) 571-3600
Fax: (248) 973-8560
Website:
Map and Directions
Authorized official contact:
Name: Denhardt, Lynn
Phone: (248) 847-3210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 4301026037 Michigan
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 5101010352 Michigan
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 5101009481 Michigan
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 4301085240 Michigan

Profile Details

NPI number 1679631360
LBN Legal business name Michigan Pediatric Ent Associates, Pllc
DBA Doing business as
Authorized official Denhardt, Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated May 18th, 2016 - about 9 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 1679631360 NPPES
Michigan MEDICAID 418937910
Michigan MEDICAID 519222510
Michigan MEDICAID 418928011
Michigan MEDICAID 418929911
Michigan MEDICAID 418942111
Michigan MEDICAID 418935010
Michigan MEDICAID 519559510
Michigan Other 040E011990
Michigan MEDICAID 418941211
Michigan MEDICAID 418944011
Michigan MEDICAID 519253910
Michigan MEDICAID 418930511
Michigan MEDICAID 418933210

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