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SERAPHIM NETWORK LLC NPI 1124366125


NPI Information

NPI: 1124366125
Provider Name: SERAPHIM NETWORK LLC

Doing Business As: SERAPHIM MEDICAL NETWORK

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
17256 SHERFIELD PL
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 552-1327
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SERAPHIM NETWORK LLC is a general practice in Southfield, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SERAPHIM NETWORK LLC NPI is 1124366125. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Seraphim Medical Network.

The provider's business location address is:

17256 SHERFIELD PL
SOUTHFIELD, MI
ZIP 48075-969
Phone: (248) 552-1327

The provider's authorized official is Rebecca Kathleene Motley .
The authorized official title is President and has the following contact phone number (248) 552-1327.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 1/25/2013.


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
1208D00000XGeneral Practice4301407599MICHIGANYes

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
123D1064376OTHERMICHIGANCLIA

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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