Millenniun Physical Therapy Center
LBN: Mmg 1Pc
Millenniun Physical Therapy Center is an health care organization with primary practice located at 26400 W 12 Mile Rd Suite 25, Southfield MI 48034-1700. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Mmg 1Pc can be contacted via phone (248) 864-4444, or through Trivax, Geoffrey A. via phone (248) 354-9666.
Contact Information
Primary practice address
26400 W 12 Mile Rd Suite 25
Southfield MI 48034-1700
Phone: (248) 864-4444
Fax: (248) 864-4445
Website:
Authorized official contact:
Name: Trivax, Geoffrey A. Doctor of Medicine (MD)
Phone: (248) 354-9666
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1972700607 |
|---|---|
| LBN Legal business name | Mmg 1Pc |
| DBA Doing business as | Millenniun Physical Therapy Center |
| Authorized official | Trivax, Geoffrey A. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Sep 20th, 2018 - about 7 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 | 1972700607 | NPPES |
| Michigan | Other | 30044 | BLUE SHIELD |
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