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WESTERN WAYNE FAMILY PHYSICIANS PLC NPI 1629263520


NPI Information

NPI: 1629263520
Provider Name: WESTERN WAYNE FAMILY PHYSICIANS, PLC

Doing Business As: WESTERN WAYNE PHYSICIANS, PLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0712306

Address:
7445 ALLEN RD
SUITE 250
ALLEN PARK, MI
ZIP 48101
Phone: (313) 386-5500
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WESTERN WAYNE FAMILY PHYSICIANS, PLC is a family medicine in Allen Park, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WESTERN WAYNE FAMILY PHYSICIANS, PLC NPI is 1629263520. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Western Wayne Physicians, Plc.

The provider's business location address is:

7445 ALLEN RD
SUITE 250
ALLEN PARK, MI
ZIP 48101-963
Phone: (313) 386-5500
Fax: (313) 386-3444

The provider's authorized official is Robert J Jackson .
The authorized official title is Owner / Secretary and has the following contact phone number (313) 386-5500.

The CLIA number assigned to this NPI record is 23D0712306 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 3/18/2008.


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
1207Q00000XFamily MedicineYes

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
10P30370MEDICARE PINMICHIGAN
24172611MEDICAIDMICHIGAN
34545053MEDICAIDMICHIGAN
43506382MEDICAIDMICHIGAN
50M27560MEDICARE PINMICHIGAN
64281910MEDICAIDMICHIGAN
7CD8151OTHERMICHIGANRAILROAD MEDICARE
8CC4542OTHERMICHIGANRAILROAD MEDICARE
94172620MEDICAIDMICHIGAN
10CG3535OTHERMICHIGANRAILROAD MEDICARE
114545062MEDICAIDMICHIGAN
124572954MEDICAIDMICHIGAN

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

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.