Dearborn Allergy & Asthma Clinic Pc

LBN: Dearborn Allergy & Asthma Clinic Pc
Dearborn Allergy & Asthma Clinic Pc is an health care organization with primary practice located at 20200 Outer Dr , Dearborn MI 48124-2634. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as the primary health care specialty. Dearborn Allergy & Asthma Clinic Pc can be contacted via phone (313) 565-3565, or through Short, Kathy via phone (313) 565-3565.

Contact Information

Primary practice address
20200 Outer Dr Dearborn MI 48124-2634
Phone: (313) 565-3565
Fax: (313) 565-7723
Website:
Map and Directions
Authorized official contact:
Name: Short, Kathy
Phone: (313) 565-3565

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X

Profile Details

NPI number 1477545200
LBN Legal business name Dearborn Allergy & Asthma Clinic Pc
DBA Doing business as
Authorized official Short, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 24th, 2012 - about 14 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 1477545200 NPPES
Michigan MEDICAID 1083483
Michigan MEDICAID 2838806
Michigan Other 0H26340
Michigan MEDICAID 1290003

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