Provider Demographics
NPI:1780625145
Name:PARTNERS IN INTERNAL MEDICINE PLLC
Entity type:Organization
Organization Name:PARTNERS IN INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-994-7446
Mailing Address - Street 1:2200 GREEN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-994-7446
Mailing Address - Fax:734-623-8590
Practice Address - Street 1:2200 GREEN RD
Practice Address - Street 2:SUITE B
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105
Practice Address - Country:US
Practice Address - Phone:734-994-7446
Practice Address - Fax:734-623-8590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301043873OtherLICENSE (MLG)
MI4301049857OtherLICENSE (MO)
MI4301063025OtherLICENSE (PRP)
MI4301069903OtherLICENSE (SH)
MI4301075355OtherLICENSE (EJS)
MI4301095466OtherLICENSE (DRW)
MI4301065397OtherLICENSE (PES)
MI4704243632OtherLICENSE (LMC)
MI4704243632OtherLICENSE (LMC)
0M13100 012Medicare PIN
MI4301065397OtherLICENSE (PES)
H14888Medicare UPIN
0M13100Medicare PIN
0M13100 001Medicare PIN
MI4704243632OtherLICENSE (LMC)
MI4301075355OtherLICENSE (EJS)
G43449Medicare UPIN
MI4301069903OtherLICENSE (SH)
0M13100 007Medicare PIN
0M13100 010Medicare PIN
0M13100 006Medicare PIN
G42824Medicare UPIN
B45522Medicare UPIN
0M13100 003Medicare PIN