Iman Nurse Practitioner Center

LBN: Iman Np Center Llc
Iman Nurse Practitioner Center is an health care organization with primary practice located at 26771 W 12 Mile Rd Suite 101, Southfield MI 48034-1539. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Iman Np Center Llc can be contacted via phone (248) 595-8536, or through Shivachi-Williams, Veronica via phone (248) 595-8536.

Contact Information

Primary practice address
26771 W 12 Mile Rd Suite 101 Southfield MI 48034-1539
Phone: (248) 595-8536
Fax: (248) 809-2043
Website:
Map and Directions
Authorized official contact:
Name: Shivachi-Williams, Veronica NP-C
Phone: (248) 595-8536

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1124393202
LBN Legal business name Iman Np Center Llc
DBA Doing business as Iman Nurse Practitioner Center
Authorized official Shivachi-Williams, Veronica NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2012
Last updated Aug 6th, 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 1124393202 NPPES
Michigan Other 5008616330 BCBS/BCN

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