Premier Foot & Ankle

LBN: William Dickieson Dpm Pc
Premier Foot & Ankle is an health care organization with primary practice located at 1213 Mason St , Dearborn MI 48124-2841. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Podiatric. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. William Dickieson Dpm Pc can be contacted via phone (313) 561-2446, or through Fawaz, Alex via phone (248) 219-0323.

Contact Information

Primary practice address
1213 Mason St Dearborn MI 48124-2841
Fax: (313) 561-7299
Website:
Authorized official contact:
Name: Fawaz, Alex

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Ambulatory Health Care Facilities / Podiatric 261QP1100X 5901001040 Michigan

Profile Details

NPI number 1023035748
LBN Legal business name William Dickieson Dpm Pc
DBA Doing business as Premier Foot & Ankle
Authorized official Fawaz, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 23rd, 2023 - about last year

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 1023035748 NPPES
Michigan MEDICAID 2120106

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