Main Street Physicians P.C.
LBN: Christopher R Deangelis D.O
Main Street Physicians P.C. is an health care organization with primary practice located at 25000 Hall Rd Suite 1, Woodhaven MI 48183-5112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Christopher R Deangelis D.O can be contacted via phone (734) 676-3373, or through Reiman, Sara M via phone (734) 676-3373.
Contact Information
Primary practice address
25000 Hall Rd Suite 1
Woodhaven MI 48183-5112
Phone: (734) 676-3373
Fax: (734) 675-1678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | CD013396 | Michigan |
Profile Details
| NPI number | 1811171234 |
|---|---|
| LBN Legal business name | Christopher R Deangelis D.O |
| DBA Doing business as | Main Street Physicians P.C. |
| Authorized official | Reiman, Sara M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Jan 28th, 2019 - about 7 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 | 1811171234 | NPPES |
| Michigan | Other | 5390707 | AETNA |
| Michigan | Other | P127746 | AETNA |
| Michigan | Other | 1158206834 | AETNA |
| Michigan | Other | 5820683 | AETNA |
| Michigan | Other | C8111 | AETNA |
| Michigan | Other | 110218318 | AETNA |
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