Rudy J Vervaeke Md Plc

LBN: Rudy J Vervaeke Md Plc
Rudy J Vervaeke Md Plc is an health care organization with primary practice located at 24211 Little Mack Ave , Saint Clair Shores MI 48080-1151. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Rudy J Vervaeke Md Plc can be contacted via phone (586) 775-7400, or through Vervaeke, Rudy Jerome via phone (586) 775-7400.

Contact Information

Primary practice address
24211 Little Mack Ave Saint Clair Shores MI 48080-1151
Phone: (586) 775-7400
Fax: (586) 775-0091
Website:
Map and Directions
Authorized official contact:
Name: Vervaeke, Rudy Jerome Doctor of Medicine (MD)
Phone: (586) 775-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 4301044898 Michigan

Profile Details

NPI number 1548325186
LBN Legal business name Rudy J Vervaeke Md Plc
DBA Doing business as
Authorized official Vervaeke, Rudy Jerome Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Aug 18th, 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 1548325186 NPPES
Michigan Other 770666348 COMMERCIAL

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