Southgate Medical Center Pllc

LBN: Southgate Medical Center Pllc
Southgate Medical Center Pllc is an health care organization with primary practice located at 12815 Northline Rd , Southgate MI 48195-1109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southgate Medical Center Pllc can be contacted via phone (734) 284-2090, or through Sloan, Julie via phone (734) 284-2090.

Contact Information

Primary practice address
12815 Northline Rd Southgate MI 48195-1109
Fax: (734) 284-9666
Website:
Authorized official contact:
Name: Sloan, Julie

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301089436 Michigan

Profile Details

NPI number 1801155858
LBN Legal business name Southgate Medical Center Pllc
DBA Doing business as
Authorized official Sloan, Julie
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2012
Last updated May 11th, 2012 - about 13 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 1801155858 NPPES
Other 4301089436 PHYSICIAN LICENSE

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