Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 27177 Lahser Rd Suite 203, Southfield MI 48034-8416. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. University Physician Group can be contacted via phone (248) 357-4151, or through Kohlitz, Jeffery P via phone (248) 581-5930.

Contact Information

Primary practice address
27177 Lahser Rd Suite 203 Southfield MI 48034-8416
Fax: (248) 357-0229
Website:
Authorized official contact:
Name: Kohlitz, Jeffery P

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1346289600
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 5th, 2006
Last updated Oct 26th, 2016 - about 9 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 1346289600 NPPES
Michigan Other 0P46750 MEDICARE GROUP # - AUDIOLOGIST
Michigan Other 0F33443 MEDICARE GROUP # - AUDIOLOGIST
Michigan Other 23D1065430 MEDICARE GROUP # - AUDIOLOGIST
Michigan Other 23D1086626 MEDICARE GROUP # - AUDIOLOGIST
Michigan Other 23D1091632 MEDICARE GROUP # - AUDIOLOGIST

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