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ALPHA & OMEGA MC LLC NPI 1619166436


NPI Information

NPI: 1619166436
Provider Name: ALPHA & OMEGA MC LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
28807 8 MILE RD
SUITE 102
LIVONIA, MI
ZIP 48152
Phone: (313) 772-0406
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ALPHA & OMEGA MC LLC is a general practice in Livonia, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ALPHA & OMEGA MC LLC NPI is 1619166436. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28807 8 MILE RD
SUITE 102
LIVONIA, MI
ZIP 48152-078
Phone: (313) 772-0406

The provider's authorized official is Karina E Hernandez .
The authorized official title is Managing Member and has the following contact phone number (313) 772-0406.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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