Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 4700 Schaefer Rd Suite 260, Dearborn MI 48126-3698. 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 (313) 945-8270, or through Kohlitz, Jeffery P via phone (248) 581-5930.

Contact Information

Primary practice address
4700 Schaefer Rd Suite 260 Dearborn MI 48126-3698
Phone: (313) 945-8270
Fax: (313) 945-8731
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 1134492465
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 Feb 16th, 2012
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134492465 NPPES
Michigan Other 5717980005 NGS

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