St. Clair Nephrology, Idaho Nephrology Associates

LBN: St Clair Specialty Physicians Pc
St. Clair Nephrology, Idaho Nephrology Associates is an health care organization with primary practice located at 18001 E 10 Mile Rd Suite 1, Roseville MI 48066-3803. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. St Clair Specialty Physicians Pc can be contacted via phone (586) 218-5800, or through Provenzano, Christopher Robert via phone (586) 286-7800.

Contact Information

Primary practice address
18001 E 10 Mile Rd Suite 1 Roseville MI 48066-3803
Phone: (586) 218-5800
Fax: (586) 532-6496
Website:
Map and Directions
Authorized official contact:
Name: Provenzano, Christopher Robert Doctor of Medicine (MD)
Phone: (586) 286-7800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1154361616
LBN Legal business name St Clair Specialty Physicians Pc
DBA Doing business as St. Clair Nephrology, Idaho Nephrology Associates
Authorized official Provenzano, Christopher Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 17th, 2022 - about 2 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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