Jack Belen, M.D.

LBN: Physical Medicine, P.C.
Jack Belen, M.D. is an health care organization with primary practice located at 20307 W 12 Mile Rd Ste. 102, Southfield MI 48076-5407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Physical Medicine, P.C. can be contacted via phone (248) 356-6661, or through Belen, Jack G. via phone (248) 365-6661.

Contact Information

Primary practice address
20307 W 12 Mile Rd Ste. 102 Southfield MI 48076-5407
Phone: (248) 356-6661
Fax: (248) 356-6619
Website:
Map and Directions
Authorized official contact:
Name: Belen, Jack G. Doctor of Medicine (MD)
Phone: (248) 365-6661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 042374 Michigan

Profile Details

NPI number 1043496250
LBN Legal business name Physical Medicine, P.C.
DBA Doing business as Jack Belen, M.D.
Authorized official Belen, Jack G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 17 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 1043496250 NPPES
Michigan MEDICAID 1552582

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