Perry Mlk Medical Center P.C.
LBN: Perry Mlk Medical Center P.C.
Perry Mlk Medical Center P.C. is an health care organization with primary practice located at 673 Martin Luther King Jr Blvd N , Pontiac MI 48342-1627. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Perry Mlk Medical Center P.C. can be contacted via phone (248) 338-2793, or through Swilley, Bryan K via phone (248) 338-2793.
Contact Information
Primary practice address
673 Martin Luther King Jr Blvd N
Pontiac MI 48342-1627
Phone: (248) 338-2793
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | BS010362 | Michigan |
Profile Details
| NPI number | 1407942394 |
|---|---|
| LBN Legal business name | Perry Mlk Medical Center P.C. |
| DBA Doing business as | |
| Authorized official | Swilley, Bryan K Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Oct 26th, 2010 - about 16 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 | 1407942394 | NPPES |
| Michigan | Other | 0856308604 | BCBS OF MI |
| Michigan | Other | 000000001401 | BCBS OF MI |
| Michigan | MEDICAID | 114402195 | BCBS OF MI |
| Michigan | Other | 132616 | BCBS OF MI |
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