Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 18100 Oakwood Blvd Suite 300, Dearborn MI 48124-4085. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. University Physician Group can be contacted via phone (313) 429-7977, or through Kohlitz, Jeffery P via phone (248) 581-5930.

Contact Information

Primary practice address
18100 Oakwood Blvd Suite 300 Dearborn MI 48124-4085
Phone: (313) 429-7977
Fax: (313) 429-7981
Website:
Map and Directions
Authorized official contact:
Name: Kohlitz, Jeffery P
Phone: (248) 581-5930

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 4301028224 Michigan

Profile Details

NPI number 1992044598
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 4th, 2013
Last updated Dec 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992044598 NPPES
Michigan Other 5717980007 NGS

Popular Providers