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Contact Information

BLUE WATER PAIN SPECIALISTS PC
22101 MOROSS RD
DETROIT, MI48236-2148
 Phone: 313-343-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for BLUE WATER PAIN SPECIALISTS PC

NPI Number 1568889442
LBN Legal business name BLUE WATER PAIN SPECIALISTS PC
Authorized official BASSAM DURGHAM - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2014
Last updated 11/15/2017 - About 9 years ago
Identifiers n/a
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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