DEARBORN ALLERGY & ASTHMA CLINIC PC – NPI #1477545200
Allergy & Immunology

An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..

DEARBORN ALLERGY & ASTHMA CLINIC PC is an allergy & immunologist located in DEARBORN, MI. NPPES has assigned the NPI number 1477545200 to DEARBORN ALLERGY & ASTHMA CLINIC PC on August 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207KI0005X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Clinical & Laboratory Immunology

The NPI profile was previously updated about 14 years ago on Apr 24, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEARBORN ALLERGY & ASTHMA CLINIC PC below.

NPI Profile for
DEARBORN ALLERGY & ASTHMA CLINIC PC

NPI Number
1477545200
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEARBORN ALLERGY & ASTHMA CLINIC PC
Primary location
20200 OUTER DR
DEARBORN, MI 48124-2634
Phone: (313) 565-3565 Fax: (313) 565-7723
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHY SHORT
OFFICE MANAGER
Phone: (313) 565-3565
Updated
Identifiers

Identifiers for DEARBORN ALLERGY & ASTHMA CLINIC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSMI0H26340
MEDICAIDMI1083483
MEDICAIDMI2838806
MEDICAIDMI1290003
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KI0005X
- Allergy & Immunology / Clinical & Laboratory Immunology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.