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Contact Information

SENIOR CARE MEDICAL GROUP PLLC
15400 MICHIGAN AVE
SUITE ONE
DEARBORN, MI48126-3491
 Phone: 313-584-3359
 Fax: 313-584-1729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Long-Term Care

364SL0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SENIOR CARE MEDICAL GROUP PLLC

NPI # 1285660571
LBN Legal business name SENIOR CARE MEDICAL GROUP PLLC
Authorized official BELAL ABDALLAH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2006
Last updated 08/26/2013 - About 13 years ago
Identifiers
MI License # BA059825
MI License # KM171632
MI License # MZ112158
MI Medicaid 4933009
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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