Opdyke Medical, Pllc
LBN: Opdyke Medical, Pllc
Opdyke Medical, Pllc is an health care organization with primary practice located at 3959 Centerpoint Pkwy Ste 100 , Pontiac MI 48341-3121. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Opdyke Medical, Pllc can be contacted via phone (248) 333-2600, or through Crum, Marie Therese via phone (248) 240-5699.
Contact Information
Primary practice address
3959 Centerpoint Pkwy Ste 100
Pontiac MI 48341-3121
Phone: (248) 333-2600
Fax: (248) 333-3250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1154664688 |
|---|---|
| LBN Legal business name | Opdyke Medical, Pllc |
| DBA Doing business as | |
| Authorized official | Crum, Marie Therese |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2013 |
| Last updated | Apr 13th, 2023 - about 3 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 | 1154664688 | NPPES |
| Michigan | MEDICAID | 2805350 |
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