Justin P Direzze Md Sole Mbr

LBN: Theoria Medical
Justin P Direzze Md Sole Mbr is an health care organization with primary practice located at 41800 W 11 Mile Rd Ste 109 , Novi MI 48375-1818. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Theoria Medical can be contacted via phone (248) 860-4634, or through Di Rezze, Justin P via phone (248) 860-4634.

Contact Information

Primary practice address
41800 W 11 Mile Rd Ste 109 Novi MI 48375-1818
Fax: (248) 282-5044
Website:
Authorized official contact:
Name: Di Rezze, Justin P Doctor of Medicine (MD)

Profile Details

NPI number 1609362375
LBN Legal business name Theoria Medical
DBA Doing business as Justin P Direzze Md Sole Mbr
Authorized official Di Rezze, Justin P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2018
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609362375 NPPES
Ohio MEDICAID 0411248

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