Michigan Institute Of Urology Pc

LBN: Michigan Institute Of Urology Pc
Michigan Institute Of Urology Pc is an health care organization with primary practice located at 130 Town Center Dr Suite 200, Troy MI 48084-1744. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Michigan Institute Of Urology Pc can be contacted via phone (248) 786-0464, or through Santino, Alphonse M via phone (586) 771-4820.

Contact Information

Primary practice address
130 Town Center Dr Suite 200 Troy MI 48084-1744
Phone: (248) 786-0464
Fax: (248) 786-0674
Website:
Map and Directions
Authorized official contact:
Name: Santino, Alphonse M Doctor of Medicine (MD)
Phone: (586) 771-4820

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4301090214 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1962674499
LBN Legal business name Michigan Institute Of Urology Pc
DBA Doing business as
Authorized official Santino, Alphonse M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 25th, 2008
Last updated Mar 8th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962674499 NPPES
Michigan Other 340E062730 BCBSM
Michigan Other 540E016120 BCBSM
Michigan Other CB9133 BCBSM

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