Pure Oak Health Services Llc

LBN: Pure Oak Health Services Llc
Pure Oak Health Services Llc is an health care organization with primary practice located at 23300 Greenfield Rd Ste 105 , Oak Park MI 48237-8407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Pure Oak Health Services Llc can be contacted via phone (248) 677-4061, or through Dixon, Shaterri via phone (248) 677-4061.

Contact Information

Primary practice address
23300 Greenfield Rd Ste 105 Oak Park MI 48237-8407
Fax: (248) 677-4063
Website:
Authorized official contact:
Name: Dixon, Shaterri

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1538722491
LBN Legal business name Pure Oak Health Services Llc
DBA Doing business as
Authorized official Dixon, Shaterri
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated May 13th, 2019 - about 6 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 1538722491 NPPES
Michigan MEDICAID 1538722491

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