PROVIDENCE VENTURES LLC NPI 1659574283

NPI Information

NPI: 1659574283
Provider Name: PROVIDENCE VENTURES, LLC

Doing Business As: BONE AND JOINT SURGERY CENTER OF NOVI

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
26750 PROVIDENCE PKWY STE 100
NOVI, MI
ZIP 48374
Phone: (248) 662-1500
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PROVIDENCE VENTURES, LLC is an ambulatory surgical clinic center in Novi, MI. PROVIDENCE VENTURES, LLC NPI is 1659574283. The provider is registered as an organization entity type.
The provider Is Doing Business As Bone And Joint Surgery Center Of Novi.

The provider's business location address is:

26750 PROVIDENCE PKWY STE 100
NOVI, MI
ZIP 48374-211
Phone: (248) 662-1500
Fax: (248) 662-1501

The provider's authorized official is Marc A. Borovoy .
The authorized official title is Governing Board President/chairman and has the following contact phone number (248) 388-5842.

The enumeration date for this NPI number is 6/10/2007 and was last updated on 12/19/2019.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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: 4/28/2024

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