National Provider Identifier Database

MICHIGAN PRIMARY CARE PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MICHIGAN PRIMARY CARE PLLC
41400 DEQUINDRE RD STE 121
STERLING HEIGHTS, MI48314
Phone: 586-843-3815
Fax: 586-843-3920
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for MICHIGAN PRIMARY CARE PLLC

NPI Number 1669799128
Legal business name
LBN
MICHIGAN PRIMARY CARE PLLC
Authorized official LISA BROWN - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/23/2010
Last updated 05/16/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301064027
  • MI License #: DM050196
  • MI License #: ZP064027
  • MI Medicaid: 1669799128

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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