P-Cor, Llc

LBN: P-Cor, Llc
P-Cor, Llc is an health care organization with primary practice located at 29350 Southfield Rd Ste 150 , Southfield MI 48076-2011. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. P-Cor, Llc can be contacted via phone (248) 647-9790, or through Tisdale, Shakia via phone (248) 577-3659.

Contact Information

Primary practice address
29350 Southfield Rd Ste 150 Southfield MI 48076-2011
Phone: (248) 647-9790
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tisdale, Shakia
Phone: (248) 577-3659

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1154954741
LBN Legal business name P-Cor, Llc
DBA Doing business as
Authorized official Tisdale, Shakia
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2020
Last updated Feb 21st, 2020 - about 5 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 1154954741 NPPES
Michigan MEDICAID 1720033343

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