Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 3901 Chrysler Dr Tolan Park, Detroit MI 48201-2167. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. University Physician Group can be contacted via phone (313) 993-3434, or through Kohlitz, Jeffery P via phone (248) 581-5930.

Contact Information

Primary practice address
3901 Chrysler Dr Tolan Park Detroit MI 48201-2167
Phone: (313) 993-3434
Fax: (313) 993-3421
Website:
Map and Directions
Authorized official contact:
Name: Kohlitz, Jeffery P
Phone: (248) 581-5930

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1447465661
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 May 11th, 2007
Last updated Oct 26th, 2016 - about 8 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 1447465661 NPPES
Michigan Other 0P32060 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0H22872 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0H22872 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0P32180 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0P32050 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0H22874 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0H22830 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0H22832 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0P30630 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
Michigan Other 0P32120 MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST

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