Requiem, Llc

LBN: Requiem, Llc
Requiem, Llc is an health care organization with primary practice located at 543 N Main St Ste 211 , Rochester MI 48307-1485. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Requiem, Llc can be contacted via phone (248) 495-2438, or through Atallah, Pierre Charbel via phone (248) 495-2438.

Contact Information

Primary practice address
543 N Main St Ste 211 Rochester MI 48307-1485
Phone: (248) 495-2438
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Atallah, Pierre Charbel MD, MS, MBA
Phone: (248) 495-2438

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1811633241
LBN Legal business name Requiem, Llc
DBA Doing business as
Authorized official Atallah, Pierre Charbel MD, MS, MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2022
Last updated May 9th, 2022 - about 4 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 1811633241 NPPES
Michigan MEDICAID 20150804334789
Michigan Other 0931859
Michigan Other F34995040

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