Allergy Clinic Of Livingston County Pc

LBN: Allergy Clinic Of Livingston County Pc
Allergy Clinic Of Livingston County Pc is an health care organization with primary practice located at 8619 W Grand River Ave Ste. J, Brighton MI 48116-2334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Allergy Clinic Of Livingston County Pc can be contacted via phone (810) 227-6793, or through Zacks, Mark N via phone (810) 227-6793.

Contact Information

Primary practice address
8619 W Grand River Ave Ste. J Brighton MI 48116-2334
Fax: (810) 227-5397
Website:
Authorized official contact:
Name: Zacks, Mark N Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MZ035093 Michigan

Profile Details

NPI number 1154538619
LBN Legal business name Allergy Clinic Of Livingston County Pc
DBA Doing business as
Authorized official Zacks, Mark N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Mar 25th, 2009 - about 16 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 1154538619 NPPES
Michigan MEDICAID 4840320
Michigan Other 2924
Michigan Other 700D711040
Michigan Other M011067
Michigan Other 11217890
Michigan Other 700D711040
Michigan Other 93648A

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