Summit Of Detroit, P.C. in Detroit - Dietitian, Registered
Summit Of Detroit, P.C. - NPI 1558497008
Summit Of Detroit, P.C. is a Dietitian, Registered in Detroit, Michigan. Summit Of Detroit, P.C. practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Summit Of Detroit, P.C. is 1558497008. The last update date is 2012-01-03.
Summit Of Detroit, P.C.'s current location address is 15801 W Mcnichols, Detroit, Michigan. You can contact this provider via phone number 3132728450 and fax number 3132728455. The mailing address for Summit Of Detroit, P.C. is 15801 W Mcnichols, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Of Detroit, P.C. |
|---|---|
| Address | 15801 W Mcnichols, Detroit, Michigan |
| Phone Number | 3132728450 |
| Fax Number | 3132728455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Burrell L Anise |
| Telephone Number | 3132728450 |
NPI Number Detail
| NPI Number | 1558497008 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2012-01-03 |
Provider Mailing Address Detail
| Address | 15801 W Mcnichols |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482353543 |
| Phone Number | 3132728450 |
| Fax Number | 3132728455 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 861501 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160Q260450 | MI | BCBSM | |
| 3802006439 | MI | EIN | |
| 4404690 | MI | STATE OF MI MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Summit Of Detroit, P.C. by the Centers for Medicare & Medicaid Services?
The Summit Of Detroit, P.C. has been issued the NPI (National Provider Identifier) 1558497008, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Summit Of Detroit, P.C.'s facilities are situated?
The facilities of Summit Of Detroit, P.C. are physically located at the following address: 15801 W Mcnichols, Detroit, MI, 482353543.
What is Summit Of Detroit, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Summit Of Detroit, P.C. is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date did the Summit Of Detroit, P.C. receive the assignment of its 1558497008 from the Centers for Medicare & Medicaid Services?
The Summit Of Detroit, P.C. was issued its 1558497008 by the Centers for Medicare & Medicaid Services on 2007-02-26.
As of what date was the information regarding Summit Of Detroit, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Summit Of Detroit, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-03.