Troy Podiatrist Pc

LBN: Troy Podiatrist Pc
Troy Podiatrist Pc is an health care organization with primary practice located at 4770 Rochester Rd Suite 104, Troy MI 48085-4951. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Troy Podiatrist Pc can be contacted via phone (248) 689-5125, or through Glickman, Steven via phone (248) 689-5125.

Contact Information

Primary practice address
4770 Rochester Rd Suite 104 Troy MI 48085-4951
Phone: (248) 689-5125
Fax: (248) 689-5688
Website:
Map and Directions
Authorized official contact:
Name: Glickman, Steven Doctor of Podiatric Medicine (DPM)
Phone: (248) 689-5125

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SG000600 Michigan

Profile Details

NPI number 1033219209
LBN Legal business name Troy Podiatrist Pc
DBA Doing business as
Authorized official Glickman, Steven Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 27th, 2009 - about 17 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 1033219209 NPPES
Michigan MEDICAID 1375192-13
Michigan Other C2490
Michigan Other 480013308

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