Morang Chester Clinic P C

LBN: Morang Chester Clinic P C
Morang Chester Clinic P C is an health care organization with primary practice located at 17520 Chester St , Detroit MI 48224-1212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Morang Chester Clinic P C can be contacted via phone (313) 884-0900, or through Braver, Barry via phone (313) 884-0900.

Contact Information

Primary practice address
17520 Chester St Detroit MI 48224-1212
Phone: (313) 884-0900
Fax: (313) 884-8062
Website:
Map and Directions
Authorized official contact:
Name: Braver, Barry Doctor of Osteopathy (DO)
Phone: (313) 884-0900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007774 Michigan

Profile Details

NPI number 1497895106
LBN Legal business name Morang Chester Clinic P C
DBA Doing business as
Authorized official Braver, Barry Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Jun 14th, 2024 - about last year

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 1497895106 NPPES
Michigan Other 0188200304 BCBSM PIN
Michigan MEDICAID 2808979 BCBSM PIN

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