Western Wayne Physicians, Plc
LBN: Western Wayne Family Physicians, Plc
Western Wayne Physicians, Plc is an health care organization with primary practice located at 7445 Allen Rd Suite 250, Allen Park MI 48101-1963. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Western Wayne Family Physicians, Plc can be contacted via phone (313) 386-5500, or through Jackson, Robert J via phone (313) 386-5500.
Contact Information
Primary practice address
7445 Allen Rd Suite 250
Allen Park MI 48101-1963
Phone: (313) 386-5500
Fax: (313) 386-3444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1629263520 |
|---|---|
| LBN Legal business name | Western Wayne Family Physicians, Plc |
| DBA Doing business as | Western Wayne Physicians, Plc |
| Authorized official | Jackson, Robert J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Mar 18th, 2008 - about 17 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 | 1629263520 | NPPES |
| Michigan | MEDICAID | 3506382 | |
| Michigan | MEDICAID | 4172620 | |
| Michigan | MEDICAID | 4545062 | |
| Michigan | MEDICAID | 4172611 | |
| Michigan | Other | CD8151 | |
| Michigan | Other | CC4542 | |
| Michigan | MEDICAID | 4545053 | |
| Michigan | MEDICAID | 4281910 | |
| Michigan | MEDICAID | 4572954 | |
| Michigan | Other | CG3535 |
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