Sjmo Bald Mountain

LBN: Sjmo Bald Mountain
Sjmo Bald Mountain is an health care organization with primary practice located at 1375 S Lapeer Rd Suite 160, Lake Orion MI 48360-1421. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Sjmo Bald Mountain can be contacted via phone (248) 693-9040, or through Weiner, Jack via phone (248) 858-3140.

Contact Information

Primary practice address
1375 S Lapeer Rd Suite 160 Lake Orion MI 48360-1421
Phone: (248) 693-9040
Fax: (248) 693-9007
Website:
Map and Directions
Authorized official contact:
Name: Weiner, Jack
Phone: (248) 858-3140

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1922276013
LBN Legal business name Sjmo Bald Mountain
DBA Doing business as
Authorized official Weiner, Jack
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2008
Last updated Feb 12th, 2008 - about 18 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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