Village Pediatrics Pllc

LBN: Village Pediatrics Pllc
Village Pediatrics Pllc is an health care organization with primary practice located at 31815 Southfield Rd Suite 14, Beverly Hills MI 48025-5471. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Village Pediatrics Pllc can be contacted via phone (248) 644-5626, or through Roth, Herbert J via phone (248) 644-5626.

Contact Information

Primary practice address
31815 Southfield Rd Suite 14 Beverly Hills MI 48025-5471
Phone: (248) 644-5626
Fax: (248) 644-5497
Website:
Map and Directions
Authorized official contact:
Name: Roth, Herbert J Doctor of Medicine (MD)
Phone: (248) 644-5626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1962780767
LBN Legal business name Village Pediatrics Pllc
DBA Doing business as
Authorized official Roth, Herbert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2011
Last updated Jul 27th, 2011 - about 15 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 1962780767 NPPES
Michigan MEDICAID 1053574954
Michigan MEDICAID 1568452761

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