Northeast Family Dermatology Center
LBN: Lenise A. Banse, M.D.,P.C.
Northeast Family Dermatology Center is an health care organization with primary practice located at 42452 Hayes Rd Suite 3, Clinton Township MI 48038-6771. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Lenise A. Banse, M.D.,P.C. can be contacted via phone (586) 263-3130, or through Banse, Lenise via phone (586) 263-3130.
Contact Information
Primary practice address
42452 Hayes Rd Suite 3
Clinton Township MI 48038-6771
Phone: (586) 263-3130
Fax: (586) 263-5183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301047653 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 4301047653 | Michigan |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 4301047653 | Michigan |
Profile Details
| NPI number | 1811041890 |
|---|---|
| LBN Legal business name | Lenise A. Banse, M.D.,P.C. |
| DBA Doing business as | Northeast Family Dermatology Center |
| Authorized official | Banse, Lenise Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jun 25th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811041890 | NPPES |
| Massachusetts | Other | 101151 | PREFERRED CHOICES |
| Massachusetts | Other | 0500688 | PREFERRED CHOICES |
| Massachusetts | Other | 4037111 | PREFERRED CHOICES |
| Massachusetts | Other | 131180573496 | PREFERRED CHOICES |
| Massachusetts | Other | DR500262 | PREFERRED CHOICES |
| Massachusetts | Other | 0705006881 | PREFERRED CHOICES |
| Massachusetts | Other | 900013288 | PREFERRED CHOICES |
| Massachusetts | Other | 101151 | PREFERRED CHOICES |
| Massachusetts | Other | 131180573496 | PREFERRED CHOICES |
| Massachusetts | Other | 155665 | PREFERRED CHOICES |
| Massachusetts | Other | 0500688001 | PREFERRED CHOICES |
| Massachusetts | MEDICAID | 2806900 | PREFERRED CHOICES |
| Massachusetts | Other | 80862B | PREFERRED CHOICES |
| Massachusetts | Other | MO22874 | PREFERRED CHOICES |
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