ADVANCE PROFESSIONAL PATIENT CARE PLLC NPI 1083074850

NPI Information

NPI: 1083074850
Provider Name: ADVANCE PROFESSIONAL PATIENT CARE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
901 W GRAND BLVD
STE 101
DETROIT, MI
ZIP 48208
Phone: (313) 894-1500
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ADVANCE PROFESSIONAL PATIENT CARE PLLC is a primary care clinic center in Detroit, MI. ADVANCE PROFESSIONAL PATIENT CARE PLLC NPI is 1083074850. The provider is registered as an organization entity type.

The provider's business location address is:

901 W GRAND BLVD
STE 101
DETROIT, MI
ZIP 48208-353
Phone: (313) 894-1500
Fax: (313) 894-1501

The provider's authorized official is Meiuttenun C Brown .
The authorized official title is Owner and has the following contact phone number (313) 894-1500.

The enumeration date for this NPI number is 3/7/2016 and was last updated on 4/22/2016.

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	261QP2300X	Clinic/Center	Primary Care	4301088766	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	Other Provider Identifier Issuer
1	PENDING	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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