Pyramidal Rehab, Pc

LBN: Pyramidal Rehab, Pc
Pyramidal Rehab, Pc is an health care organization with primary practice located at 1414 W Fair Ave Suite 204, Marquette MI 49855-2675. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Pyramidal Rehab, Pc can be contacted via phone (906) 225-7740, or through Miky, Mansour via phone (906) 225-7740.

Contact Information

Primary practice address
1414 W Fair Ave Suite 204 Marquette MI 49855-2675
Phone: (906) 225-7740
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miky, Mansour Doctor of Medicine (MD)
Phone: (906) 225-7740

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301082652 Michigan

Profile Details

NPI number 1083686596
LBN Legal business name Pyramidal Rehab, Pc
DBA Doing business as
Authorized official Miky, Mansour Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated May 20th, 2008 - about 16 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 1083686596 NPPES
Michigan Other 2505210422 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 104603246 BLUE CROSS BLUE SHIELD MI

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