Provider Type Icon

SHORES PRIMARY CARE P.C. NPI 1629110804


NPI Information

NPI: 1629110804
Provider Name: SHORES PRIMARY CARE, P.C.
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
28001 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 772-7180
Get Directions

SHORES PRIMARY CARE, P.C. is a legal medicine in Saint Clair Shores, MI. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. SHORES PRIMARY CARE, P.C. NPI is 1629110804. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28001 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48081-561
Phone: (586) 772-7180
Fax: (586) 279-0033

The provider's authorized official is Ronald Y Barnett .
The authorized official title is Owner and has the following contact phone number (586) 772-7180.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/21/2022.


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
1173000000XLegal MedicineMICHIGANYes

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
14541715OTHERMICHIGANMOLINA HEALTH CARE OF MI
2E83365OTHERMICHIGANHEALTH CHOICE HAP
3022739OTHERMICHIGANMIDWEST MEDICARE ADVANTAG
4022739OTHERMICHIGANMIDWEST HEALTH PLAN
5700EO0079-0OTHERMICHIGANBLUE CROSS BLUE SHIELD
60004122882OTHERMICHIGANAETNA
7141770OTHERMICHIGANGREAT LAKES HEALTH PLAN
8107599PCOTHERMICHIGANCARE CHOICES
94541715MEDICAIDMICHIGAN
100N67900OTHERMICHIGANHAP,OUT OF NETWORK
11E83365OTHERMICHIGANHEALTH ALLIANCE PLAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.