Southfield Family Physicians, Pllc

LBN: Southfield Family Physicians, Pllc
Southfield Family Physicians, Pllc is an health care organization with primary practice located at 22972 Lahser Rd , Southfield MI 48034-4408. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southfield Family Physicians, Pllc can be contacted via phone (248) 353-4777, or through Gabbanajan, Jackie via phone (242) 353-4777.

Contact Information

Primary practice address
22972 Lahser Rd Southfield MI 48034-4408
Phone: (248) 353-4777
Fax: (248) 353-4235
Website:
Map and Directions
Authorized official contact:
Name: Gabbanajan, Jackie Registered Nurse (RN)
Phone: (242) 353-4777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MJ034283 Michigan

Profile Details

NPI number 1720118037
LBN Legal business name Southfield Family Physicians, Pllc
DBA Doing business as
Authorized official Gabbanajan, Jackie Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Feb 28th, 2012 - about 12 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 1720118037 NPPES
Michigan Other 080F375520 BCBS
Michigan MEDICAID 4102457 BCBS

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