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
Phone: (734) 427-3636
Fax: (734) 427-1483
Website:
Authorized official contact:
Name: Turkish, Verna Jean Doctor of Osteopathy (DO)
Phone: (734) 427-4067
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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