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Contact Information

CAPITAL MEDICAL ASSOC. PC
5385 TERENCE CT
BLOOMFIELD HILLS, MI48302-2555
 Phone: 248-851-2083
 Fax: 248-855-2130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CAPITAL MEDICAL ASSOC. PC

NPI Number 1790876241
LBN Legal business name CAPITAL MEDICAL ASSOC. PC
Authorized official JERALD GACH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 02/28/2013 - About 13 years ago
Identifiers
MI License # JG005927
MA Other 055632430 BLUE CROSS
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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