Vincent R.C. Maribao Md Pc

LBN: Vincent R.C. Maribao Md Pc
Vincent R.C. Maribao Md Pc is an health care organization with primary practice located at 29167 Jefferson Ave Ste 100 , Saint Clair Shores MI 48081-1331. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Vincent R.C. Maribao Md Pc can be contacted via phone (586) 498-1160, or through Maribao, Vincent R. C. via phone (586) 498-1160.

Contact Information

Primary practice address
29167 Jefferson Ave Ste 100 Saint Clair Shores MI 48081-1331
Phone: (586) 498-1160
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maribao, Vincent R. C. Doctor of Medicine (MD)
Phone: (586) 498-1160

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1730114760
LBN Legal business name Vincent R.C. Maribao Md Pc
DBA Doing business as
Authorized official Maribao, Vincent R. C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 1st, 2019 - about 5 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 1730114760 NPPES
Michigan MEDICAID 4177064

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