<Unavail>
LBN: Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr
<Unavail> is an health care organization with primary practice located at 17650 W 12 Mile Rd , Southfield MI 48076-1911. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr can be contacted via phone (313) 871-9940, or through Ross-Chatman, Martrilla Marie via phone (313) 871-9940.
Contact Information
Primary practice address
17650 W 12 Mile Rd
Southfield MI 48076-1911
Phone: (313) 871-9940
Fax:
Website:
Authorized official contact:
Name: Ross-Chatman, Martrilla Marie Registered Nurse (RN)
Phone: (313) 871-9940
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 4301039079 | Michigan |
Profile Details
| NPI number | 1851583215 |
|---|---|
| LBN Legal business name | Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr |
| DBA Doing business as | <Unavail> |
| Authorized official | Ross-Chatman, Martrilla Marie Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Aug 21st, 2007 - about 19 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 | 1851583215 | NPPES |
| Michigan | Other | 1851583215 | NPI |
| Michigan | Other | 1891701884 | NPI |
| Michigan | Other | OM83260 | NPI |
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