BOARDERS MULTISPECIALTY & PAIN CLINIC NPI 1376210807

NPI Information

NPI: 1376210807
Provider Name: BOARDERS MULTISPECIALTY & PAIN CLINIC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
24423 SOUTHFIELD RD STE 120
SOUTHFIELD, MI
ZIP 48075
Phone: (313) 510-8861
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BOARDERS MULTISPECIALTY & PAIN CLINIC is a pain clinic center in Southfield, MI. BOARDERS MULTISPECIALTY & PAIN CLINIC NPI is 1376210807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24423 SOUTHFIELD RD STE 120
SOUTHFIELD, MI
ZIP 48075-864
Phone: (313) 510-8861

The provider's authorized official is Anthony Banks .
The authorized official title is Owner and has the following contact phone number (313) 510-8861.

The enumeration date for this NPI number is 8/24/2021 and was last updated on 8/24/2021.

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
1	207LP2900X	Anesthesiology	Pain Medicine			No
2	261QP3300X	Clinic/Center	Pain			Yes

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

NPI Synchronization or Removal

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