Michigan Specialty Clinic Pllc

LBN: Michigan Specialty Clinic Pllc
Michigan Specialty Clinic Pllc is an health care organization with primary practice located at 13530 Michigan Ave Suite 120, Dearborn MI 48126-3583. The organization recently has 8 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Laboratories / Clinical Medical Laboratory. Other Service Providers / Specialist is the primary health care specialty. Michigan Specialty Clinic Pllc can be contacted via phone (313) 945-9188, or through Masri, Fatina via phone (313) 945-9188.

Contact Information

Primary practice address
13530 Michigan Ave Suite 120 Dearborn MI 48126-3583
Phone: (313) 945-9188
Fax: (313) 945-9184
Website:
Map and Directions
Authorized official contact:
Name: Masri, Fatina Doctor of Medicine (MD)
Phone: (313) 945-9188

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301052487 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 4301052487 Michigan
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4301052487 Michigan
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 4301052487 Michigan
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1760700660
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 May 17th, 2010
Last updated Mar 10th, 2020 - about 4 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 1760700660 NPPES
Michigan Other 700H269700 BCBS GROUP
Michigan MEDICAID 1760800660 BCBS GROUP
Michigan Other 700H269700 BCBS GROUP
Michigan Other DS8165 BCBS GROUP

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