Renal Redux

LBN: Jerry A Dancik
Renal Redux is an health care organization with primary practice located at 1455 S Lapeer Rd Suite 207, Lake Orion MI 48360-1467. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Jerry A Dancik can be contacted via phone (248) 690-9946, or through Dancik, Jerry Allen via phone (248) 690-9946.

Contact Information

Primary practice address
1455 S Lapeer Rd Suite 207 Lake Orion MI 48360-1467
Phone: (248) 690-9946
Fax: (248) 690-9956
Website:
Map and Directions
Authorized official contact:
Name: Dancik, Jerry Allen Doctor of Medicine (MD)
Phone: (248) 690-9946

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301033510 Michigan

Profile Details

NPI number 1528492212
LBN Legal business name Jerry A Dancik
DBA Doing business as Renal Redux
Authorized official Dancik, Jerry Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2013
Last updated Dec 12th, 2013 - about 12 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 1528492212 NPPES
Michigan MEDICAID 4218461
Michigan MEDICAID 4095853

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