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DEARBORN NURO CLINIC PC NPI 1568638088


NPI Information

NPI: 1568638088
Provider Name: DEARBORN NURO CLINIC PC
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
25325 FORD RD
SUITE 100
DEARBORN, MI
ZIP 48128
Phone: (313) 724-0584
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DEARBORN NURO CLINIC PC is a neuromusculoskeletal medicine omm in Dearborn, MI. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. DEARBORN NURO CLINIC PC NPI is 1568638088. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25325 FORD RD
SUITE 100
DEARBORN, MI
ZIP 48128-086
Phone: (313) 724-0584

The provider's authorized official is Bassam Maaz .
The authorized official title is President and has the following contact phone number (313) 724-9584.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM4301053885MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11308248992OTHERMICHIGANBLUE CROSS BLUE SHEILD OF MI
24579561MEDICAIDMICHIGAN
30N53750MEDICARE PINMICHIGAN
4=========OTHERMICHIGANTAX ID

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: 11/14/2023

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