SOMERSET VENOUS CENTER PC NPI 1740396043

NPI Information

NPI: 1740396043
Provider Name: SOMERSET VENOUS CENTER PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3290 W BIG BEAVER
SUITE 410
TROY, MI
ZIP 48084
Phone: (248) 816-6300
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SOMERSET VENOUS CENTER PC is a vascular surgery surgery in Troy, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SOMERSET VENOUS CENTER PC NPI is 1740396043. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3290 W BIG BEAVER
SUITE 410
TROY, MI
ZIP 48084
Phone: (248) 816-6300
Fax: (248) 816-6335

The provider's authorized official is Jennifer Sue Engle .
The authorized official title is President and has the following contact phone number (248) 816-6300.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/2/2009.

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	2086S0129X	Surgery	Vascular Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0P23860	MEDICARE ID-TYPE UNSPECIFIED
2	0F32839	OTHER		BCBS MI

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

NPI Synchronization or Removal

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