WELLNESS CARE CENTER LLC NPI 1902262728

NPI Information

NPI: 1902262728
Provider Name: WELLNESS CARE CENTER LLC

Former Legal Business Name: WELLNESS CARE CENTER LLC

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
25900 GREENFIELD RD
STE 411
OAK PARK, MI
ZIP 48237
Phone: (248) 703-0047
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WELLNESS CARE CENTER LLC is a pain clinic center in Oak Park, MI. WELLNESS CARE CENTER LLC NPI is 1902262728. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wellness Care Center Llc.

The provider's business location address is:

25900 GREENFIELD RD
STE 411
OAK PARK, MI
ZIP 48237-292
Phone: (248) 703-0047

The provider's authorized official is Bernard L Foster .
The authorized official title is Owner and has the following contact phone number (248) 703-0047.

The CLIA number assigned to this NPI record is 23D0369628 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/8/2016 and was last updated on 9/27/2016.

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 State	Primary
1	173000000X	Legal Medicine			No
2	174400000X	Specialist		MICHIGAN	No
3	174400000X	Specialist			No
4	261QP3300X	Clinic/Center	Pain		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: 5/5/2024

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