Activate Healthcare Michigan

LBN: Activate Healthcare Michigan
Activate Healthcare Michigan is an health care organization with primary practice located at 555 Horace Brown Dr Suite 200, Madison Heights MI 48071-1867. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Activate Healthcare Michigan can be contacted via phone (773) 697-3144, or through Geihsler, Debra A. via phone (773) 697-3144.

Contact Information

Primary practice address
555 Horace Brown Dr Suite 200 Madison Heights MI 48071-1867
Phone: (773) 697-3144
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Geihsler, Debra A.
Phone: (773) 697-3144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X APPLYING FOR Michigan

Profile Details

NPI number 1437577061
LBN Legal business name Activate Healthcare Michigan
DBA Doing business as
Authorized official Geihsler, Debra A.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2014
Last updated Apr 1st, 2014 - about 12 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 1437577061 NPPES
Michigan Other APPLYING FOR MEDICARE PTAN

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