Dovetail Family Practice

LBN: Dovetail Family Practice
Dovetail Family Practice is an health care organization with primary practice located at 636 Borgess Ave , Monroe MI 48162-2713. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dovetail Family Practice can be contacted via phone (734) 244-5515, or through Hulsemann, Susan Jane via phone (734) 244-5515.

Contact Information

Primary practice address
636 Borgess Ave Monroe MI 48162-2713
Phone: (734) 244-5515
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hulsemann, Susan Jane Doctor of Medicine (MD)
Phone: (734) 244-5515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 4301069503 Michigan

Profile Details

NPI number 1285943670
LBN Legal business name Dovetail Family Practice
DBA Doing business as
Authorized official Hulsemann, Susan Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2010
Last updated Oct 1st, 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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