University Medical Specialties, Pc
LBN: University Medical Specialties, Pc
University Medical Specialties, Pc is an health care organization with primary practice located at 9045 Us Highway 31 , Berrien Springs MI 49103-1804. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
University Medical Specialties, Pc can be contacted via phone (269) 473-2222, or through Long, Raeann Danene via phone (269) 473-2222.
Contact Information
Primary practice address
9045 Us Highway 31
Berrien Springs MI 49103-1804
Phone: (269) 473-2222
Fax: (269) 473-6880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LH009414 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | FK271098 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | NC007536 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR064962 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | LH052398 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | KK081055 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | KK081055 | Michigan |
Profile Details
| NPI number | 1902086689 |
|---|---|
| LBN Legal business name | University Medical Specialties, Pc |
| DBA Doing business as | |
| Authorized official | Long, Raeann Danene |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Oct 16th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902086689 | NPPES |
| Michigan | Other | 680A112130 | GROUP MENTAL HEALTH BCBSM PIN |
| Michigan | Other | 700A146860 | GROUP MENTAL HEALTH BCBSM PIN |
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