Wayne State University Physician Group
LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 44000 W 12 Mile Rd Ste 205 Wsupg Pm&R Oakwood, Novi MI 48377-2647. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
University Physician Group can be contacted via phone (248) 465-0100, or through Kohlitz, Jeffery P via phone (248) 581-5930.
Contact Information
Primary practice address
44000 W 12 Mile Rd Ste 205 Wsupg Pm&R Oakwood
Novi MI 48377-2647
Phone: (248) 465-0100
Fax: (248) 465-0107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4301083153 | Michigan |
Profile Details
| NPI number | 1336492354 |
|---|---|
| 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 | Oct 16th, 2012 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336492354 | NPPES |
| Michigan | Other | 0P30630 | MEDICARE GROUP # |
| Michigan | Other | 0H70318 | MEDICARE GROUP # |
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