Provider Type Icon

ADVANCED ASTHMA ALLERGY & IMMUNOLOGY CARE PC NPI 1053577536


NPI Information

NPI: 1053577536
Provider Name: ADVANCED ASTHMA ALLERGY & IMMUNOLOGY CARE PC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
4870 W CLARK RD
SUITE 202
YPSILANTI, MI
ZIP 48197
Phone: (734) 434-5430
Get Directions

ADVANCED ASTHMA ALLERGY & IMMUNOLOGY CARE PC is an allergy allergy immunology in Ypsilanti, MI. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ADVANCED ASTHMA ALLERGY & IMMUNOLOGY CARE PC NPI is 1053577536. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4870 W CLARK RD
SUITE 202
YPSILANTI, MI
ZIP 48197-104
Phone: (734) 434-5430
Fax: (734) 434-5762

The provider's authorized official is Lisa Stringham .
The authorized official title is Credentialing Manager and has the following contact phone number (269) 969-8920.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 8/4/2008.


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
1207KA0200XAllergy & ImmunologyAllergyCC788218MICHIGANYes

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
1104929015MEDICAIDMICHIGAN

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

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.