Northeast Surgical Specialists, Pc
LBN: Northeast Surgical Specialists, Pc
Northeast Surgical Specialists, Pc is an health care organization with primary practice located at 43211 Dalcoma Dr Suite 4, Clinton Twp MI 48038-6309. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Northeast Surgical Specialists, Pc can be contacted via phone (586) 286-8800, or through Kowynia, Peter David via phone (586) 212-0606.
Contact Information
Primary practice address
43211 Dalcoma Dr Suite 4
Clinton Twp MI 48038-6309
Phone: (586) 286-8800
Fax: (586) 286-8068
Website:
Authorized official contact:
Name: Kowynia, Peter David Doctor of Medicine (MD)
Phone: (586) 212-0606
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301051240 | Michigan |
Profile Details
| NPI number | 1952576431 |
|---|---|
| LBN Legal business name | Northeast Surgical Specialists, Pc |
| DBA Doing business as | |
| Authorized official | Kowynia, Peter David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Mar 21st, 2013 - about 12 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 | 1952576431 | NPPES |
| Michigan | Other | 02 0502600 | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| Michigan | MEDICAID | 102873117 | BLUE CROSS BLUE SHIELD OF MICHIGAN |
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