Summit Of Detroit, P.C.

LBN: Summit Of Detroit, P.C.
Summit Of Detroit, P.C. is an health care organization with primary practice located at 15801 W Mcnichols , Detroit MI 48235-3543. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Summit Of Detroit, P.C. can be contacted via phone (313) 272-8450, or through Burrell, Anise L via phone (313) 272-8450.

Contact Information

Primary practice address
15801 W Mcnichols Detroit MI 48235-3543
Phone: (313) 272-8450
Fax: (313) 272-8455
Website:
Map and Directions
Authorized official contact:
Name: Burrell, Anise L
Phone: (313) 272-8450

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801072558 Michigan
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 861501 Michigan
Nursing Service Providers / Registered Nurse 163W00000X 4704191117 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301028327 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301030345 Michigan

Profile Details

NPI number 1558497008
LBN Legal business name Summit Of Detroit, P.C.
DBA Doing business as
Authorized official Burrell, Anise L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 3rd, 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 1558497008 NPPES
Michigan Other 160Q260450 BCBSM
Michigan Other 3802006439 BCBSM
Michigan Other 4404690 BCBSM

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