University Physician Group in Detroit - Dietitian, Registered
University Physician Group - NPI 1265472575
University Physician Group is a Dietitian, Registered in Detroit, Michigan. University Physician Group practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for University Physician Group is 1265472575. The last update date is 2016-10-26.
University Physician Group's current location address is 4201 Saint Antoine St, Detroit, Michigan. You can contact this provider via phone number 3137454525. The mailing address for University Physician Group is 4201 Saint Antoine St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Physician Group |
|---|---|
| Address | 4201 Saint Antoine St, Detroit, Michigan |
| Phone Number | 3137454525 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Kohlitz P Jeffery |
| Telephone Number | 2485815930 |
NPI Number Detail
| NPI Number | 1265472575 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2016-10-26 |
Provider Mailing Address Detail
| Address | 4201 Saint Antoine St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012153 |
| Phone Number | 3137454525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0P32130 | MI | MEDICARE GROUP # - RD |
Post Comment/ Review Below
What is the University Physician Group's 1265472575?
The University Physician Group's NPI (National Provider Identifier) Number is 1265472575. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where University Physician Group's facilities are situated?
The facilities of University Physician Group are physically located at the following address: 4201 Saint Antoine St, Detroit, MI, 482012153.
What is University Physician Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The University Physician Group's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did University Physician Group receive its 1265472575 assignment from the Centers for Medicare & Medicaid Services?
The University Physician Group was assigned its 1265472575 on 2006-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the University Physician Group's details last updated?
The information pertaining to the University Physician Group, including its address, specialty, and other details, was most recently updated on 2016-10-26.