Shores Primary Care, P.C.

LBN: Shores Primary Care, P.C.
Shores Primary Care, P.C. is an health care organization with primary practice located at 28001 Harper Ave , Saint Clair Shores MI 48081-1561. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Shores Primary Care, P.C. can be contacted via phone (586) 772-7180, or through Barnett, Ronald Y via phone (586) 772-7180.

Contact Information

Primary practice address
28001 Harper Ave Saint Clair Shores MI 48081-1561
Phone: (586) 772-7180
Fax: (586) 279-0033
Website:
Map and Directions
Authorized official contact:
Name: Barnett, Ronald Y Doctor of Osteopathy (DO)
Phone: (586) 772-7180

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X Michigan

Profile Details

NPI number 1629110804
LBN Legal business name Shores Primary Care, P.C.
DBA Doing business as
Authorized official Barnett, Ronald Y Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 21st, 2022 - about 3 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 1629110804 NPPES
Michigan Other 0N67900 HAP,OUT OF NETWORK
Michigan Other E83365 HAP,OUT OF NETWORK
Michigan MEDICAID 4541715 HAP,OUT OF NETWORK
Michigan Other 022739 HAP,OUT OF NETWORK
Michigan Other 107599PC HAP,OUT OF NETWORK
Michigan Other 4541715 HAP,OUT OF NETWORK
Michigan Other 0004122882 HAP,OUT OF NETWORK
Michigan Other 022739 HAP,OUT OF NETWORK
Michigan Other 141770 HAP,OUT OF NETWORK
Michigan Other E83365 HAP,OUT OF NETWORK
Michigan Other 700EO0079-0 HAP,OUT OF NETWORK

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