Park Ob Gyn

LBN: Park Ob Gyn
Park Ob Gyn is an health care organization with primary practice located at 16570 19 Mile Rd , Clinton Twp MI 48038-1106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Park Ob Gyn can be contacted via phone (586) 263-7660, or through Park, Chankee via phone (586) 263-7660.

Contact Information

Primary practice address
16570 19 Mile Rd Clinton Twp MI 48038-1106
Phone: (586) 263-7660
Fax: (586) 263-4727
Website:
Map and Directions
Authorized official contact:
Name: Park, Chankee Doctor of Medicine (MD)
Phone: (586) 263-7660

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301037049 Michigan

Profile Details

NPI number 1821304288
LBN Legal business name Park Ob Gyn
DBA Doing business as
Authorized official Park, Chankee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2010
Last updated Feb 17th, 2011 - 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 1821304288 NPPES
Michigan MEDICAID 1518995869
Michigan Other 4301037049

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