South Lyon Family Physicians, Pllc
LBN: South Lyon Family Physicians, Pllc
South Lyon Family Physicians, Pllc is an health care organization with primary practice located at 22024 Pontiac Trl , South Lyon MI 48178-9410. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
South Lyon Family Physicians, Pllc can be contacted via phone (248) 437-2525, or through Brennan, Patrick R via phone (248) 437-2525.
Contact Information
Primary practice address
22024 Pontiac Trl
South Lyon MI 48178-9410
Phone: (248) 437-2525
Fax: (248) 437-2526
Website:
Authorized official contact:
Name: Brennan, Patrick R Doctor of Osteopathy (DO)
Phone: (248) 437-2525
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101014989 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101005444 | Michigan |
Profile Details
| NPI number | 1518004084 |
|---|---|
| LBN Legal business name | South Lyon Family Physicians, Pllc |
| DBA Doing business as | |
| Authorized official | Brennan, Patrick R Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518004084 | NPPES |
| Michigan | Other | 5101014989 | STATE LICENSE |
| Michigan | Other | 5633697 | STATE LICENSE |
| Michigan | Other | 5101005444 | STATE LICENSE |
| Michigan | Other | 5631170 | STATE LICENSE |
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