<Unavail>
LBN: Mmg 1 Pc
<Unavail> is an health care organization with primary practice located at 32255 Northwestern Hwy Ste 100 , Farmington Hills MI 48334-1573. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI), Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Mmg 1 Pc can be contacted via phone (248) 945-0000, or through Trivax, Geoffrey A. via phone (248) 851-1430.
Contact Information
Primary practice address
32255 Northwestern Hwy Ste 100
Farmington Hills MI 48334-1573
Phone: (248) 945-0000
Fax: (248) 945-1819
Website:
Authorized official contact:
Name: Trivax, Geoffrey A. Doctor of Medicine (MD)
Phone: (248) 851-1430
Health care specialties
Profile Details
| NPI number | 1912933540 |
|---|---|
| LBN Legal business name | Mmg 1 Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Trivax, Geoffrey A. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Dec 23rd, 2021 - about 5 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 | 1912933540 | NPPES |
| Michigan | Other | CJ8411 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | Other | 700F314390 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | Other | CH5573 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | Other | DA4193 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | Other | DD1976 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | Other | CF9345 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | Other | 0M96210 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | MEDICAID | 1912933540 | MEDICARE ID TYPE UNSPECIFIED |
| Michigan | Other | CG6178 | MEDICARE ID TYPE UNSPECIFIED |
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