Michigan Specialty Clinic Pllc

LBN: Michigan Specialty Clinic Pllc
Michigan Specialty Clinic Pllc is an health care organization with primary practice located at 13510 Michigan Ave , Dearborn MI 48126-3511. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Michigan Specialty Clinic Pllc can be contacted via phone (313) 582-0100, or through Masri, Fatina via phone (313) 945-9800.

Contact Information

Primary practice address
13510 Michigan Ave Dearborn MI 48126-3511
Phone: (313) 582-0100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Masri, Fatina Doctor of Medicine (MD)
Phone: (313) 945-9800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1730646977
LBN Legal business name Michigan Specialty Clinic Pllc
DBA Doing business as
Authorized official Masri, Fatina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2019
Last updated Mar 10th, 2020 - about 5 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 1730646977 NPPES
Michigan MEDICAID 1760700660

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