Elouise Malisa Bulin in Detroit - Clinical
Elouise Malisa Bulin - NPI 1992965198
Elouise Malisa Bulin is a Clinical in Detroit, Michigan. Elouise Malisa Bulin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elouise Malisa Bulin is 1992965198. The last update date is 2014-04-09.
Elouise Malisa Bulin's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3135761000. The mailing address for Elouise Malisa Bulin is 4646 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elouise Malisa Bulin |
|---|---|
| Address | 4646 John R St, Detroit, Michigan |
| Phone Number | 3135761000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CLIN SOCIA |
NPI Number Detail
| NPI Number | 1992965198 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2014-04-09 |
Provider Mailing Address Detail
| Address | 4646 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482011916 |
| Phone Number | 3135761000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801094217 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Elouise Malisa Bulin by the Centers for Medicare & Medicaid Services?
The Elouise Malisa Bulin has been issued the NPI (National Provider Identifier) 1992965198, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Elouise Malisa Bulin's facilities are geographically located?
The facilities of Elouise Malisa Bulin are physically situated at the following location: 4646 John R St, Detroit, MI, 482011916.
What is Elouise Malisa Bulin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elouise Malisa Bulin is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992965198 to Elouise Malisa Bulin?
The Centers for Medicare & Medicaid Services originally issued the 1992965198 to Elouise Malisa Bulin on 2008-06-11.
When was the information related to Elouise Malisa Bulin most recently updated or refreshed?
The details pertaining to the Elouise Malisa Bulin, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-04-09.
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