Primecare Of Novi Pllc

LBN: Primecare Of Novi Pllc
Primecare Of Novi Pllc is an health care organization with primary practice located at 39555 West Ten Mile Rd Suite 302, Novi MI 48375-2950. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Primecare Of Novi Pllc can be contacted via phone (248) 426-7200, or through Shively, Theodore W via phone (248) 426-7200.

Contact Information

Primary practice address
39555 West Ten Mile Rd Suite 302 Novi MI 48375-2950
Fax: (248) 426-7335
Website:
Authorized official contact:
Name: Shively, Theodore W Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1235281916
LBN Legal business name Primecare Of Novi Pllc
DBA Doing business as
Authorized official Shively, Theodore W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jan 25th, 2010 - about 14 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 1235281916 NPPES
Michigan Other 0F316970 BLUE CROSS BLUE SHIELD MI

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