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ELCTRODIAGNOSTIC MEDICINE CONSULTANTS PLLC NPI 1477710135


NPI Information

NPI: 1477710135
Provider Name: ELCTRODIAGNOSTIC MEDICINE CONSULTANTS, PLLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
1515 LAKE LANSING RD
SUITE F-1
LANSING, MI
ZIP 48912
Phone: (517) 374-1055
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ELCTRODIAGNOSTIC MEDICINE CONSULTANTS, PLLC is a clinical neurophysiology psychiatry neurology in Lansing, MI. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). ELCTRODIAGNOSTIC MEDICINE CONSULTANTS, PLLC NPI is 1477710135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1515 LAKE LANSING RD
SUITE F-1
LANSING, MI
ZIP 48912-753
Phone: (517) 374-1055
Fax: (517) 374-1061

The provider's authorized official is Frederick Michael Vincent .
The authorized official title is Owner/physician and has the following contact phone number (517) 374-1055.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.


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
12084N0600XPsychiatry & NeurologyClinical Neurophysiology4301035133MICHIGANYes

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
10331291OTHERMICHIGANMEDICARE ID-TYPE UNSPECIFIED
2B49544MEDICARE UPINMICHIGAN
31687260MEDICAIDMICHIGAN

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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