Professional Obgyn Pc

LBN: Professional Obgyn Pc
Professional Obgyn Pc is an health care organization with primary practice located at 55 N Pond Dr Suite 2, Walled Lake MI 48390-3080. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Professional Obgyn Pc can be contacted via phone (248) 624-3366, or through Kushner, Roger via phone (248) 476-4900.

Contact Information

Primary practice address
55 N Pond Dr Suite 2 Walled Lake MI 48390-3080
Phone: (248) 624-3366
Fax: (248) 624-0127
Website:
Map and Directions
Authorized official contact:
Name: Kushner, Roger Doctor of Osteopathy (DO)
Phone: (248) 476-4900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1477602480
LBN Legal business name Professional Obgyn Pc
DBA Doing business as
Authorized official Kushner, Roger Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1477602480 NPPES
Michigan Other 0H24970 BCBS

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