Pedicare Pediatric Clinic Pc

LBN: Pedicare Pediatric Clinic Pc
Pedicare Pediatric Clinic Pc is an health care organization with primary practice located at 35240 Nankin Blvd Ste # 401, Westland MI 48185-7218. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pedicare Pediatric Clinic Pc can be contacted via phone (734) 427-3636, or through Turkish, Verna Jean via phone (734) 427-4067.

Contact Information

Primary practice address
35240 Nankin Blvd Ste # 401 Westland MI 48185-7218
Fax: (734) 427-1483
Website:
Authorized official contact:
Name: Turkish, Verna Jean Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X VT 006757 Michigan

Profile Details

NPI number 1881700128
LBN Legal business name Pedicare Pediatric Clinic Pc
DBA Doing business as
Authorized official Turkish, Verna Jean Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 14th, 2008 - about 16 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 1881700128 NPPES
Michigan Other 383159597 FEDERAL TAX ID
Michigan MEDICAID 3025602-11 FEDERAL TAX ID
Michigan Other VT 006757 FEDERAL TAX ID

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