Justin P Direzze Md Sole Mbr
LBN: Theoria Medical
Justin P Direzze Md Sole Mbr is an health care organization with primary practice located at 41800 W 11 Mile Rd Ste 109 , Novi MI 48375-1818. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Theoria Medical can be contacted via phone (248) 860-4634, or through Di Rezze, Justin P via phone (248) 860-4634.
Contact Information
Primary practice address
41800 W 11 Mile Rd Ste 109
Novi MI 48375-1818
Phone: (248) 860-4634
Fax: (248) 282-5044
Website:
Health care specialties
Profile Details
| NPI number | 1609362375 |
|---|---|
| LBN Legal business name | Theoria Medical |
| DBA Doing business as | Justin P Direzze Md Sole Mbr |
| Authorized official | Di Rezze, Justin P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2018 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609362375 | NPPES |
| Ohio | MEDICAID | 0411248 |
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