Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 4100 John R St , Detroit MI 48201-2013. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as the primary health care specialty. University Physician Group can be contacted via phone (313) 745-4525, or through Kohlitz, Jeffery P via phone (248) 581-5930.

Contact Information

Primary practice address
4100 John R St Detroit MI 48201-2013
Phone: (313) 745-4525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kohlitz, Jeffery P
Phone: (248) 581-5930

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1316987589
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316987589 NPPES
Michigan Other 0P32070 MEDICARE GROUP # - PA
Michigan Other 0H24111 MEDICARE GROUP # - PA

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