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PHYSICAL COGNITIVE NETWORK INC. NPI 1750619409


NPI Information

NPI: 1750619409
Provider Name: PHYSICAL COGNITIVE NETWORK, INC.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
28550 SCHOENHERR RD
WARREN, MI
ZIP 48088
Phone: (586) 552-1562
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PHYSICAL COGNITIVE NETWORK, INC. is a rehabilitation clinic center in Warren, MI. PHYSICAL COGNITIVE NETWORK, INC. NPI is 1750619409. The provider is registered as an organization entity type.

The provider's business location address is:

28550 SCHOENHERR RD
WARREN, MI
ZIP 48088-329
Phone: (586) 552-1562
Fax: (586) 552-1535

The provider's authorized official is James E Beale .
The authorized official title is Sole Owner And Medical Director and has the following contact phone number (586) 552-1525.

The enumeration date for this NPI number is 11/18/2009 and was last updated on 12/7/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitation035963MICHIGANYes

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
11663001MEDICARE PINMICHIGAN

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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