Polyclinic Associates Pc

LBN: Polyclinic Associates Pc
Polyclinic Associates Pc is an health care organization with primary practice located at 26400 W 12 Mile Rd Ste 38, Southfield MI 48034-1700. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Other Service Providers / Specialist is the primary health care specialty. Polyclinic Associates Pc can be contacted via phone (248) 663-9846, or through Brusseau, Tom via phone (248) 663-9846.

Contact Information

Primary practice address
26400 W 12 Mile Rd Ste 38 Southfield MI 48034-1700
Fax: (248) 663-9854
Website:
Authorized official contact:
Name: Brusseau, Tom

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 50011601 Michigan

Profile Details

NPI number 1174665988
LBN Legal business name Polyclinic Associates Pc
DBA Doing business as
Authorized official Brusseau, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 22nd, 2020 - about 4 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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