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Contact Information

JEFFREY H. DECLAIRE M.D., P.C.
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI48307-1871
 Phone: 248-650-2400
 Fax: 248-650-4596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEFFREY H. DECLAIRE M.D., P.C.

NPI # 1942387998
LBN Legal business name JEFFREY H. DECLAIRE M.D., P.C.
Authorized official JOHN LAMACCHIA - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 03/26/2018 - About 8 years ago
Identifiers
MI Medicaid 1942387998
MI Other 0F34848 BLUE CROSS BLUE SHIELD
MI Other 0H70719 BLUE CROSS BLUE SHIELD (PHYSICAL THERAPY)
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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