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Contact Information

ADVANCE VISION MEDICAL, INC.
30856 GROESBECK HWY
B
ROSEVILLE, MI48066-1580
 Phone: 586-573-9385
 Fax: 586-582-0165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for ADVANCE VISION MEDICAL, INC.

NPI Number 1275508079
LBN Legal business name ADVANCE VISION MEDICAL, INC.
Authorized official DEBORAH SALATKA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2006
Last updated 06/26/2008 - About 18 years ago
Identifiers
MI Medicaid 3181705
MI Other 71020000E00162 OXYGEN
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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