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 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1538374756 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538374756 | NPPES |
| Michigan | Other | 0H22874 | BCBSM GROUP NUMBER |
| Michigan | Other | 0H22830 | BCBSM GROUP NUMBER |
| Michigan | Other | 0H22832 | BCBSM GROUP NUMBER |
| Michigan | Other | 0H22872 | BCBSM GROUP NUMBER |
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