University Internal Medicine Specialists

LBN: University Internal Medicine Specialists
University Internal Medicine Specialists is an health care organization with primary practice located at 4100 John R St , Detroit MI 48201-2013. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology is the primary health care specialty. University Internal Medicine Specialists can be contacted via phone (313) 745-4525, or through Moore, Jill G. via phone (313) 745-8212.

Contact Information

Primary practice address
4100 John R St Detroit MI 48201-2013
Phone: (313) 745-4525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Jill G.
Phone: (313) 745-8212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X

Profile Details

NPI number 1063546703
LBN Legal business name University Internal Medicine Specialists
DBA Doing business as
Authorized official Moore, Jill G.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1063546703 NPPES
Michigan Other 0H24795 BCBSM GROUP NUMBER

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