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Contact Information

ASSOCITED ORTHOPEDIST OF DETROTI
50505 SCHOENHERR
SUITE 140
SHELBY, MI48301
 Phone: 586-710-2320
 Fax: 586-997-9298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ASSOCITED ORTHOPEDIST OF DETROTI

NPI Number 1689932980
LBN Legal business name ASSOCITED ORTHOPEDIST OF DETROTI
Authorized official JAMIE JOHNSON - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2012
Last updated 05/22/2025 - More than a year ago
Identifiers
MI License # 55020000231
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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