Northwest Neurology And Neurodiagnostic Center

LBN: Northwest Neurology Pc
Northwest Neurology And Neurodiagnostic Center is an health care organization with primary practice located at 27200 Lahser Rd Suite 100, Southfield MI 48034-2137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Northwest Neurology Pc can be contacted via phone (248) 208-9215, or through Jenkins, Tessy C via phone (248) 208-9215.

Contact Information

Primary practice address
27200 Lahser Rd Suite 100 Southfield MI 48034-2137
Fax: (248) 208-9217
Website:
Authorized official contact:
Name: Jenkins, Tessy C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301058568 Michigan

Profile Details

NPI number 1467576132
LBN Legal business name Northwest Neurology Pc
DBA Doing business as Northwest Neurology And Neurodiagnostic Center
Authorized official Jenkins, Tessy C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Oct 18th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467576132 NPPES
Michigan MEDICAID 4639614

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