<Unavail>

LBN: Joel Dinverno Md Pc
<Unavail> is an health care organization with primary practice located at 11755 E Michigan Ave , Grass Lake MI 49240-9219. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Joel Dinverno Md Pc can be contacted via phone (517) 522-6100, or through Dinverno, Joel via phone (517) 522-6100.

Contact Information

Primary practice address
11755 E Michigan Ave Grass Lake MI 49240-9219
Phone: (517) 522-6100
Fax: (517) 522-4715
Website:
Map and Directions
Authorized official contact:
Name: Dinverno, Joel Doctor of Medicine (MD)
Phone: (517) 522-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301073676 Michigan

Profile Details

NPI number 1053674184
LBN Legal business name Joel Dinverno Md Pc
DBA Doing business as <Unavail>
Authorized official Dinverno, Joel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2012
Last updated Jun 22nd, 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 1053674184 NPPES
Michigan MEDICAID 104717265
Michigan Other 3503810581

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