Pediatric Clinic Associates

LBN: Pediatric Clinic Associates
Pediatric Clinic Associates is an health care organization with primary practice located at 9365 N Haggerty Rd , Plymouth MI 48170-4622. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Pediatric Clinic Associates can be contacted via phone (734) 459-9260, or through Alonzi, Mary via phone (734) 459-9260.

Contact Information

Primary practice address
9365 N Haggerty Rd Plymouth MI 48170-4622
Phone: (734) 459-9260
Fax: (734) 459-0612
Website:
Map and Directions
Authorized official contact:
Name: Alonzi, Mary Doctor of Osteopathy (DO)
Phone: (734) 459-9260

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X

Profile Details

NPI number 1558529628
LBN Legal business name Pediatric Clinic Associates
DBA Doing business as
Authorized official Alonzi, Mary Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2008
Last updated Nov 2nd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558529628 NPPES
Other 3558200335 BLUE CROSS BLUE SHIELD
MEDICAID 1345362 BLUE CROSS BLUE SHIELD
Other 3558200335 BLUE CROSS BLUE SHIELD

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