Serenity Physician

LBN: Serenity Physician
Serenity Physician is an health care organization with primary practice located at 1009 Drexel St , Dearborn MI 48128-1639. The organization recently has only one registered license in Other Service Providers / Home Modifications, which is considered as the primary health care specialty. Serenity Physician can be contacted via phone (313) 429-3164, or through Simms, Nicole via phone (313) 320-5356.

Contact Information

Primary practice address
1009 Drexel St Dearborn MI 48128-1639
Phone: (313) 429-3164
Fax: (313) 429-3165
Website:
Map and Directions
Authorized official contact:
Name: Simms, Nicole
Phone: (313) 320-5356

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1861591687
LBN Legal business name Serenity Physician
DBA Doing business as Serenity Physician
Authorized official Simms, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Popular Providers