Spp Md Pllc

LBN: Spp Md Pllc
Spp Md Pllc is an health care organization with primary practice located at 2450 Walton Blvd , Rochester Hills MI 48309-1481. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Spp Md Pllc can be contacted via phone (248) 453-0040, or through Petrovas, Steven via phone (248) 676-8000.

Contact Information

Primary practice address
2450 Walton Blvd Rochester Hills MI 48309-1481
Fax:
Website:
Authorized official contact:
Name: Petrovas, Steven Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1134768039
LBN Legal business name Spp Md Pllc
DBA Doing business as
Authorized official Petrovas, Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2019
Last updated Dec 26th, 2019 - about 6 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 1134768039 NPPES
Michigan Other 4301096579 STATE LICENSE

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