MEDICAL REHABILITATION PHYSICIANS PLC NPI 1487796504

NPI Information

NPI: 1487796504
Provider Name: MEDICAL REHABILITATION PHYSICIANS PLC

Doing Business As: MICHIGAN SPINE AND PAIN

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6079 W. MAPLE ROAD
SUITE 100B
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (989) 772-1609
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MEDICAL REHABILITATION PHYSICIANS PLC is a specialist in West Bloomfield, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDICAL REHABILITATION PHYSICIANS PLC NPI is 1487796504. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Michigan Spine And Pain.

The provider's business location address is:

6079 W. MAPLE ROAD
SUITE 100B
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (989) 772-1609

The provider's authorized official is Marvin Bleiberg .
The authorized official title is President and has the following contact phone number (989) 772-1609.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 11/2/2016.

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	1041C0700X	Social Worker	Clinical	CC087757	MICHIGAN	No
2	111NR0400X	Chiropractor	Rehabilitation	MB009073	MICHIGAN	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		MB064477	MICHIGAN	No
4	174400000X	Specialist		MB064477	MICHIGAN	Yes

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
1	F87848	MEDICARE UPIN	MICHIGAN
2	0P13600	MEDICARE PIN	MICHIGAN
3	U68655	MEDICARE UPIN	MICHIGAN
4	1487796504	MEDICAID	MICHIGAN

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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