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UNIVERSITY PHYSICIAN GROUP NPI 1154360402


NPI Information

NPI: 1154360402
Provider Name: UNIVERSITY PHYSICIAN GROUP

Doing Business As: WAYNE STATE UNIVERSITY PHYSICIAN GROUP

Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
16836 NEWBURGH RD
LIVONIA, MI
ZIP 48154
Phone: (888) 362-7792
Get Directions

UNIVERSITY PHYSICIAN GROUP is a social worker in Livonia, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. UNIVERSITY PHYSICIAN GROUP NPI is 1154360402. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wayne State University Physician Group.

The provider's business location address is:

16836 NEWBURGH RD
LIVONIA, MI
ZIP 48154-600
Phone: (888) 362-7792
Fax: (734) 464-5885

The provider's authorized official is Jeffery P K .
The authorized official title is Chief Financial Officer and has the following contact phone number (248) 581-5930.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/26/2016.


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
1104100000XSocial WorkerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10H22872OTHERMICHIGANBCBSM GROUP NUMBER
20P32050OTHERMICHIGANMEDICARE GROUP # - SOCIAL WORKER
30P32050MEDICARE PINMICHIGAN

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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