NORTHWEST NEUROLOGY PC NPI 1467576132

NPI Information

NORTHWEST NEUROLOGY PC is a neurology psychiatry neurology in Southfield, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NORTHWEST NEUROLOGY PC NPI is 1467576132. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Neurology And Neurodiagnostic Center.

The provider's business location address is:

27200 LAHSER RD
SUITE 100
SOUTHFIELD, MI
ZIP 48034-137
Phone: (248) 208-9215
Fax: (248) 208-9217

The provider's authorized official is Tessy C Jenkins .
The authorized official title is President and has the following contact phone number (248) 208-9215.

The CLIA number assigned to this NPI record is 23D2085024 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 10/18/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.