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TYRONE CHATMAN ETAL PTR MARTRILLA ROSS GEN PTR NPI 1851583215


NPI Information

NPI: 1851583215
Provider Name: TYRONE CHATMAN ETAL PTR MARTRILLA ROSS GEN PTR

Doing Business As: ACUPUNCTURE TREATMENT CONCEPTS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
17650 W 12 MILE RD
SOUTHFIELD, MI
ZIP 48076
Phone: (313) 871-9940
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TYRONE CHATMAN ETAL PTR MARTRILLA ROSS GEN PTR is a clinic center in Southfield, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TYRONE CHATMAN ETAL PTR MARTRILLA ROSS GEN PTR NPI is 1851583215. The provider is registered as an organization entity type.
The provider Is Doing Business As Acupuncture Treatment Concepts.

The provider's business location address is:

17650 W 12 MILE RD
SOUTHFIELD, MI
ZIP 48076-911
Phone: (313) 871-9940

The provider's authorized official is Martrilla Marie Ross-chatman .
The authorized official title is Administrator and has the following contact phone number (313) 871-9940.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 8/21/2007.


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
1261Q00000XClinic/Center4301039079MICHIGANYes

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 Other Provider Identifier Issuer
11851583215OTHERMICHIGANNPI
2OM83260OTHERMICHIGANMEDICARE
31891701884OTHERMICHIGANNPI

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

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