Mmg 1Pc
LBN: Mmg 1Pc
Mmg 1Pc is an health care organization with primary practice located at 7419 Middlebelt Rd Suite 4, West Bloomfield MI 48322-4182. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mmg 1Pc can be contacted via phone (248) 855-2291, or through Trivax, Geoffrey A via phone (313) 538-3099.
Contact Information
Primary practice address
7419 Middlebelt Rd Suite 4
West Bloomfield MI 48322-4182
Phone: (248) 855-2291
Fax: (248) 855-4901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1205855186 |
|---|---|
| LBN Legal business name | Mmg 1Pc |
| DBA Doing business as | |
| Authorized official | Trivax, Geoffrey A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 20th, 2018 - about 6 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 | 1205855186 | NPPES |
| Michigan | Other | 700F321510 | BLUE SHIELD GROUP |
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