Southfort Family Clinic Pc

LBN: Southfort Family Clinic Pc
Southfort Family Clinic Pc is an health care organization with primary practice located at 13650 Fort St , Southgate MI 48195-1152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southfort Family Clinic Pc can be contacted via phone (734) 281-2150, or through Nazareno, Edward via phone (734) 281-2150.

Contact Information

Primary practice address
13650 Fort St Southgate MI 48195-1152
Phone: (734) 281-2150
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nazareno, Edward Doctor of Medicine (MD)
Phone: (734) 281-2150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301067719 Michigan

Profile Details

NPI number 1184801318
LBN Legal business name Southfort Family Clinic Pc
DBA Doing business as
Authorized official Nazareno, Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 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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