Mmg 1Pc

LBN: Mmg 1Pc
Mmg 1Pc is an health care organization with primary practice located at 31500 Telegraph Rd Suite 100, Bingham Farms MI 48025-4367. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mmg 1Pc can be contacted via phone (248) 723-5880, or through Trivax, Geoffrey A via phone (313) 538-3099.

Contact Information

Primary practice address
31500 Telegraph Rd Suite 100 Bingham Farms MI 48025-4367
Phone: (248) 723-5880
Fax: (248) 723-5889
Website:
Map and Directions
Authorized official contact:
Name: Trivax, Geoffrey A Doctor of Medicine (MD)
Phone: (313) 538-3099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1225063688
LBN Legal business name Mmg 1Pc
DBA Doing business as
Authorized official Trivax, Geoffrey A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 20th, 2018 - about 8 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 1225063688 NPPES
Michigan Other CG6180 MEDICARE ID TYPE UNSPECIFIED
Michigan Other 110F301040 MEDICARE ID TYPE UNSPECIFIED

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