Dermatology Assoc Of Macomb Oakland Pc

LBN: Dermatology Assoc Of Macomb Oakland Pc
Dermatology Assoc Of Macomb Oakland Pc is an health care organization with primary practice located at 11250 E 13 Mile Rd Ste 2B, Warren MI 48093-2597. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermatology Assoc Of Macomb Oakland Pc can be contacted via phone (586) 751-2520, or through Kaufman, Joseph William via phone (586) 751-2520.

Contact Information

Primary practice address
11250 E 13 Mile Rd Ste 2B Warren MI 48093-2597
Fax: (586) 751-7004
Website:
Authorized official contact:
Name: Kaufman, Joseph William Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417058116
LBN Legal business name Dermatology Assoc Of Macomb Oakland Pc
DBA Doing business as
Authorized official Kaufman, Joseph William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated May 29th, 2013 - about 13 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 1417058116 NPPES
Michigan Other 070E060680 BCBSM

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