Obgyn Specialty Group, Pc

LBN: Obgyn Specialty Group, Pc
Obgyn Specialty Group, Pc is an health care organization with primary practice located at 19830 James Couzens Fwy , Detroit MI 48235-1938. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Obgyn Specialty Group, Pc can be contacted via phone (313) 345-3144, or through Austin, Alfred C via phone (313) 345-3144.

Contact Information

Primary practice address
19830 James Couzens Fwy Detroit MI 48235-1938
Phone: (313) 345-3144
Fax: (313) 345-3458
Website:
Map and Directions
Authorized official contact:
Name: Austin, Alfred C Doctor of Medicine (MD)
Phone: (313) 345-3144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207VH0002X AA033474 Michigan

Profile Details

NPI number 1609086933
LBN Legal business name Obgyn Specialty Group, Pc
DBA Doing business as
Authorized official Austin, Alfred C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Oct 16th, 2007 - about 17 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 1609086933 NPPES
Michigan Other 16-0H21245-0 BCBSM
Michigan MEDICAID 2994435-10 BCBSM

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