Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 26400 W 12 Mile Rd Suite 60, Southfield MI 48034-1774. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. University Physician Group can be contacted via phone (248) 594-6702, or through Kohlitz, Jeffery P via phone (248) 581-5930.

Contact Information

Primary practice address
26400 W 12 Mile Rd Suite 60 Southfield MI 48034-1774
Phone: (248) 594-6702
Fax: (248) 594-6738
Website:
Map and Directions
Authorized official contact:
Name: Kohlitz, Jeffery P
Phone: (248) 581-5930

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 4301054761 Michigan

Profile Details

NPI number 1114384757
LBN Legal business name University Physician Group
DBA Doing business as Wayne State University Physician Group
Authorized official Kohlitz, Jeffery P
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2016
Last updated Dec 1st, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114384757 NPPES
Michigan Other 5717980008 NGS

Popular Providers