Pediatric Neurosurgery Group, P.C.

LBN: Pediatric Neurosurgery Group, P.C.
Pediatric Neurosurgery Group, P.C. is an health care organization with primary practice located at 3901 Beaubien St , Detroit MI 48201-2119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Pediatric Neurosurgery Group, P.C. can be contacted via phone (313) 833-4490, or through Ham, Steven D via phone (313) 833-4490.

Contact Information

Primary practice address
3901 Beaubien St Detroit MI 48201-2119
Phone: (313) 833-4490
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ham, Steven D Doctor of Osteopathy (DO)
Phone: (313) 833-4490

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X Michigan

Profile Details

NPI number 1255476214
LBN Legal business name Pediatric Neurosurgery Group, P.C.
DBA Doing business as
Authorized official Ham, Steven D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 21st, 2022 - about 3 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 1255476214 NPPES
Michigan MEDICAID 4210122
Michigan MEDICAID 4160450
Michigan MEDICAID 4160459

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