Shanbom Eye Specialist

LBN: Spiro And Shanbom Md Pc
Shanbom Eye Specialist is an health care organization with primary practice located at 28747 Woodward Ave , Berkley MI 48072-0914. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Spiro And Shanbom Md Pc can be contacted via phone (248) 546-2133, or through Shanbom, Steven Adam via phone (248) 546-2133.

Contact Information

Primary practice address
28747 Woodward Ave Berkley MI 48072-0914
Fax: (248) 546-6036
Website:
Authorized official contact:
Name: Shanbom, Steven Adam Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301054486 Michigan

Profile Details

NPI number 1184845331
LBN Legal business name Spiro And Shanbom Md Pc
DBA Doing business as Shanbom Eye Specialist
Authorized official Shanbom, Steven Adam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Jun 10th, 2014 - 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 1184845331 NPPES
Michigan MEDICAID 104141179
Michigan Other CA2010

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