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
Phone: (248) 546-2133
Fax: (248) 546-6036
Website:
Authorized official contact:
Name: Shanbom, Steven Adam Doctor of Medicine (MD)
Phone: (248) 546-2133
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184845331 | NPPES |
| Michigan | MEDICAID | 104141179 | |
| Michigan | Other | CA2010 |
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