Michigan Spine And Brain Surgeons, Pllc
LBN: Michigan Spine And Brain Surgeons, Pllc
Michigan Spine And Brain Surgeons, Pllc is an health care organization with primary practice located at 22250 Providence Dr Suite 601, Southfield MI 48075-4825. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty.
Michigan Spine And Brain Surgeons, Pllc can be contacted via phone (248) 569-7745, or through Soo, Teck Mun via phone (248) 569-7745.
Contact Information
Primary practice address
22250 Providence Dr Suite 601
Southfield MI 48075-4825
Phone: (248) 569-7745
Fax: (248) 569-4539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X |
Profile Details
| NPI number | 1336130863 |
|---|---|
| LBN Legal business name | Michigan Spine And Brain Surgeons, Pllc |
| DBA Doing business as | |
| Authorized official | Soo, Teck Mun Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 14th, 2011 - about 13 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 | 1336130863 | NPPES |
| Michigan | Other | 0F32853 | BLUE CROSS |
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