Wayne State University Physician Group
LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 4717 Saint Antoine St , Detroit MI 48201-1423. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
University Physician Group can be contacted via phone (313) 577-8900, or through Kohlitz, Jeffery P via phone (248) 581-5930.
Contact Information
Primary practice address
4717 Saint Antoine St
Detroit MI 48201-1423
Phone: (313) 577-8900
Fax: (313) 577-0700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
| NPI number | 1063452233 |
|---|---|
| LBN Legal business name | University Physician Group |
| DBA Doing business as | Wayne State University Physician Group |
| Authorized official | Kohlitz, Jeffery P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 26th, 2016 - about 10 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 | 1063452233 | NPPES |
| Michigan | Other | 0P32140 | MEDICARE GROUP # - OD |
| Michigan | Other | 23D1091632 | MEDICARE GROUP # - OD |
| Michigan | Other | 0H22869 | MEDICARE GROUP # - OD |
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