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ALLERGY CLINIC OF LIVINGSTON COUNTY PC NPI 1154538619


NPI Information

NPI: 1154538619
Provider Name: ALLERGY CLINIC OF LIVINGSTON COUNTY PC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
8619 W GRAND RIVER AVE
STE. J
BRIGHTON, MI
ZIP 48116
Phone: (810) 227-6793
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ALLERGY CLINIC OF LIVINGSTON COUNTY PC is an allergy immunology in Brighton, MI. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ALLERGY CLINIC OF LIVINGSTON COUNTY PC NPI is 1154538619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8619 W GRAND RIVER AVE
STE. J
BRIGHTON, MI
ZIP 48116-334
Phone: (810) 227-6793
Fax: (810) 227-5397

The provider's authorized official is Mark N Zacks .
The authorized official title is Owner and has the following contact phone number (810) 227-6793.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 3/25/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyMZ035093MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1700D711040OTHERMICHIGANBCBS
22924OTHERMICHIGANGREAT LAKES
3B45174MEDICARE UPINMICHIGAN
40P28930MEDICARE PINMICHIGAN
5M011067OTHERMICHIGANCHAMPUS
6700D711040OTHERMICHIGANBLUE CARE NETWORK
711217890OTHERMICHIGANAETNA
893648AOTHERMICHIGANHAP
94840320MEDICAIDMICHIGAN

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: 5/5/2024

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