Domenico S Ausiello Md Pc

LBN: Domenico S Ausiello Md Pc
Domenico S Ausiello Md Pc is an health care organization with primary practice located at 200 S Franklin St , Greenville MI 48838-1740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Domenico S Ausiello Md Pc can be contacted via phone (616) 754-6949, or through Andres, Diane via phone (616) 754-6949.

Contact Information

Primary practice address
200 S Franklin St Greenville MI 48838-1740
Phone: (616) 754-6949
Fax: (616) 754-1062
Website:
Map and Directions
Authorized official contact:
Name: Andres, Diane
Phone: (616) 754-6949

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301053623 Michigan

Profile Details

NPI number 1972806594
LBN Legal business name Domenico S Ausiello Md Pc
DBA Doing business as
Authorized official Andres, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2010
Last updated Dec 21st, 2010 - 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 1972806594 NPPES
Michigan Other 0590023 BLUE CROSS BLUE SHIELD OF MICHIGAN
Michigan MEDICAID 2751016 BLUE CROSS BLUE SHIELD OF MICHIGAN

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