JOHN D. DINGELL VA MEDICAL CENTER NPI 1538272828

NPI Information

NPI: 1538272828
Provider Name: JOHN D. DINGELL VA MEDICAL CENTER
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
4646 JOHN R ST
PSYCHOLOGY SECTION (11MH-PS)
DETROIT, MI
ZIP 48201
Phone: (313) 576-1000
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JOHN D. DINGELL VA MEDICAL CENTER is a va clinic center in Detroit, MI. JOHN D. DINGELL VA MEDICAL CENTER NPI is 1538272828. The provider is registered as an organization entity type.

The provider's business location address is:

4646 JOHN R ST
PSYCHOLOGY SECTION (11MH-PS)
DETROIT, MI
ZIP 48201-916
Phone: (313) 576-1000

The provider's authorized official is Bradley N. Axelrod .
The authorized official title is Psychologist and has the following contact phone number (313) 576-1000.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.

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
1	261QV0200X	Clinic/Center	VA	6301007688	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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