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DEARBORN PAIN CENTER PLLC NPI 1174995203


NPI Information

NPI: 1174995203
Provider Name: DEARBORN PAIN CENTER PLLC

Doing Business As: NEU URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D2160253

Address:
624 E 9 MILE RD
HAZEL PARK, MI
ZIP 48030
Phone: (248) 629-7497
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DEARBORN PAIN CENTER PLLC is an urgent care clinic center in Hazel Park, MI. DEARBORN PAIN CENTER PLLC NPI is 1174995203. The provider is registered as an organization entity type.
The provider Is Doing Business As Neu Urgent Care.

The provider's business location address is:

624 E 9 MILE RD
HAZEL PARK, MI
ZIP 48030-842
Phone: (248) 629-7497
Fax: (248) 397-8474

The provider's authorized official is Moataz Sayed .
The authorized official title is Manager and has the following contact phone number (248) 629-7497.

The CLIA number assigned to this NPI record is 23D2160253 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 8/14/2023.


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
1261QU0200XClinic/CenterUrgent CareYes

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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