Coventures Llc is a Clinical in Monroe, Michigan. Coventures Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Coventures Llc is 1457568784. The last update date is 2015-01-13.
Coventures Llc's current location address is 986 S Telegraph Rd, Monroe, Michigan. You can contact this provider via phone number 7347707573. The mailing address for Coventures Llc is 986 S Telegraph Rd, Monroe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coventures Llc |
|---|---|
| Address | 986 S Telegraph Rd, Monroe, Michigan |
| Phone Number | 7347707573 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Boudrie Michael |
| Credentials | LMSW, LPC |
| Telephone Number | 7434770757 |
NPI Number Detail
| NPI Number | 1457568784 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2015-01-13 |
Provider Mailing Address Detail
| Address | 986 S Telegraph Rd |
|---|---|
| City | Monroe |
| State | Michigan (MI) |
| Post Code | 481614097 |
| Phone Number | 7347707573 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801035097 |
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What is the unique identification code assigned to Coventures Llc by the Centers for Medicare & Medicaid Services?
The Coventures Llc has been issued the NPI (National Provider Identifier) 1457568784. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Coventures Llc is located?
The Coventures Llc is situated at the following address: 986 S Telegraph Rd, Monroe, MI, 481614097.
What is the Coventures Llc's specialty and taxonomy code?
The Coventures Llc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Coventures Llc's 1457568784 issued?
The Coventures Llc's 1457568784 was issued on 2007-05-17.
When was the information regarding Coventures Llc most recently updated?
The details pertaining to the Coventures Llc, including its address, specialty, and other relevant information, were last refreshed on 2015-01-13.