Peter M Lisiecki Phd Pc Inc

LBN: Peter M Lisiecki Phd Pc Inc
Peter M Lisiecki Phd Pc Inc is an health care organization with primary practice located at 7960 W. Grand River Ste 120, Brighton MI 48114-7335. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Peter M Lisiecki Phd Pc Inc can be contacted via phone (810) 227-1999, or through Lisiecki, Peter Michael via phone (810) 227-1999.

Contact Information

Primary practice address
7960 W. Grand River Ste 120 Brighton MI 48114-7335
Phone: (810) 227-1999
Fax: (810) 225-2265
Website:
Map and Directions
Authorized official contact:
Name: Lisiecki, Peter Michael
Phone: (810) 227-1999

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301003173 Michigan

Profile Details

NPI number 1043352701
LBN Legal business name Peter M Lisiecki Phd Pc Inc
DBA Doing business as
Authorized official Lisiecki, Peter Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jun 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043352701 NPPES
Michigan Other 680D745030 BCBSM PIN
Michigan Other 045199 BCBSM PIN

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