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Contact Information

ABYSSININ LOVEKNOT LLC
21700 GREENFIELD RD
215B
OAK PARK, MI48237-2581
 Phone: 248-968-6899
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ABYSSININ LOVEKNOT LLC

NPI Number 1881908283
LBN Legal business name ABYSSININ LOVEKNOT LLC
Authorized official MALIK FUQUA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2010
Last updated 07/28/2010 - About 16 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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