Traumatic Brain And Catastrophic Injury Pc

LBN: Tbci Pc
Traumatic Brain And Catastrophic Injury Pc is an health care organization with primary practice located at 1059 Owendale , Troy MI 48083. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Psychiatry, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Tbci Pc can be contacted via phone (248) 526-0110, or through Park, Thomas J via phone (248) 526-0110.

Contact Information

Primary practice address
1059 Owendale Troy MI 48083
Phone: (248) 526-0110
Fax: (248) 680-9138
Website:
Map and Directions
Authorized official contact:
Name: Park, Thomas J Doctor of Medicine (MD)
Phone: (248) 526-0110

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1285705095
LBN Legal business name Tbci Pc
DBA Doing business as Traumatic Brain And Catastrophic Injury Pc
Authorized official Park, Thomas J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1285705095 NPPES
Michigan Other 30421 BLUE CROSS

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