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VIVIANI SPINAL REHABILITATION NPI 1225238397


NPI Information

NPI: 1225238397
Provider Name: VIVIANI SPINAL REHABILITATION
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
25308 MOUND RD
WARREN, MI
ZIP 48091
Phone: (586) 757-6814
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VIVIANI SPINAL REHABILITATION is a clinic center in Warren, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VIVIANI SPINAL REHABILITATION NPI is 1225238397. The provider is registered as an organization entity type.

The provider's business location address is:

25308 MOUND RD
WARREN, MI
ZIP 48091-858
Phone: (586) 757-6814
Fax: (586) 757-6816

The provider's authorized official is Terry Albert Viviani .
The authorized official title is Owner and has the following contact phone number (586) 757-6814.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 7/18/2007.


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
1261Q00000XClinic/Center2301005734MICHIGANYes

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
1OM78670MEDICARE PINMICHIGAN
2950EO53150OTHERMICHIGANBLUE CROSS BLUE SHIELD PR
3U25904MEDICARE UPINMICHIGAN
42301005734OTHERMICHIGANSTATE LICENSE NUMBER

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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