Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 18100 Oakwood Blvd Suite 300, Dearborn MI 48124-4085. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. University Physician Group can be contacted via phone (313) 429-7977, or through Kohlitz, Jeffery P via phone (248) 581-5930.

Contact Information

Primary practice address
18100 Oakwood Blvd Suite 300 Dearborn MI 48124-4085
Fax: (313) 429-7981
Website:
Authorized official contact:
Name: Kohlitz, Jeffery P

Health care specialties

Profile Details

NPI number 1851630206
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 Feb 5th, 2013
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 1851630206 NPPES
Michigan Other 0P30630 MEDICARE GROUP#
Michigan Other 0H28367 MEDICARE GROUP#

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