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PRIMEHEALTH OF MICHIGAN LLC NPI 1699228072


NPI Information

NPI: 1699228072
Provider Name: PRIMEHEALTH OF MICHIGAN LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3200 GREENFIELD RD STE 300
DEARBORN, MI
ZIP 48120
Phone: (844) 882-3127
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PRIMEHEALTH OF MICHIGAN LLC is a podiatrist in Dearborn, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PRIMEHEALTH OF MICHIGAN LLC NPI is 1699228072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3200 GREENFIELD RD STE 300
DEARBORN, MI
ZIP 48120-800
Phone: (844) 882-3127

The provider's authorized official is Kenneth King .
The authorized official title is Owner and has the following contact phone number (844) 882-3127.

The enumeration date for this NPI number is 8/2/2016 and was last updated on 5/10/2018.


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
1122300000XDentistNo
2152W00000XOptometristNo
3213E00000XPodiatristYes
4231H00000XAudiologistNo

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: 4/28/2024

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