Physicians Residential Services, P.C.

LBN: Physicians Residential Services, P.C.
Physicians Residential Services, P.C. is an health care organization with primary practice located at 20927 Kelly Rd , Eastpointe MI 48021-3128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Physicians Residential Services, P.C. can be contacted via phone (586) 777-8801, or through Soler-Valcourt, Edwin J via phone (586) 777-8801.

Contact Information

Primary practice address
20927 Kelly Rd Eastpointe MI 48021-3128
Fax: (586) 777-9988
Website:
Authorized official contact:
Name: Soler-Valcourt, Edwin J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301068676 Michigan

Profile Details

NPI number 1700866811
LBN Legal business name Physicians Residential Services, P.C.
DBA Doing business as
Authorized official Soler-Valcourt, Edwin J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 15th, 2011 - about 13 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 1700866811 NPPES
Other 010E010070 BCBSM
Other P00405274 BCBSM
MEDICAID 104784286 BCBSM
Other 010066340 BCBSM
MEDICAID 104676117 BCBSM
Other P00298680 BCBSM
MEDICAID 135198828 BCBSM

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