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GLORY HEALTH LLC NPI 1215439674


NPI Information

NPI: 1215439674
Provider Name: GLORY HEALTH, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
23077 GREENFIELD RD STE 222
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 805-2000
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GLORY HEALTH, 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 GLORY HEALTH, LLC NPI is 1215439674. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23077 GREENFIELD RD STE 222
SOUTHFIELD, MI
ZIP 48075-745
Phone: (248) 805-2000
Fax: (888) 283-9115

The provider's authorized official is Helen Blicharz .
The authorized official title is Owner and has the following contact phone number (248) 805-2000.

The enumeration date for this NPI number is 3/1/2018 and was last updated on 3/6/2018.


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
12084N0400XPsychiatry & NeurologyNeurologyNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
3208D00000XGeneral PracticeYes
4213E00000XPodiatristNo

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.