Pediatric Staff Pllc in Detroit - Specialist
Pediatric Staff Pllc - NPI 1922140912
Pediatric Staff Pllc is a Specialist in Detroit, Michigan. Pediatric Staff Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pediatric Staff Pllc is 1922140912. The last update date is 2020-08-22.
Pediatric Staff Pllc's current location address is 22341 W 8 Mile Rd, Detroit, Michigan. You can contact this provider via phone number 3132552209 and fax number 3132550773. The mailing address for Pediatric Staff Pllc is 22341 W 8 Mile Rd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Staff Pllc |
|---|---|
| Address | 22341 W 8 Mile Rd, Detroit, Michigan |
| Phone Number | 3132552209 |
| Fax Number | 3132550773 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ice Anne-Mare |
| Credentials | M.D. |
| Telephone Number | 3132552209 |
NPI Number Detail
| NPI Number | 1922140912 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22341 W 8 Mile Rd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482191217 |
| Phone Number | 3132552209 |
| Fax Number | 3132550773 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 31683 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1066910 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pediatric Staff Pllc by the Centers for Medicare & Medicaid Services?
The Pediatric Staff Pllc has been issued the NPI (National Provider Identifier) 1922140912. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pediatric Staff Pllc located?
The Pediatric Staff Pllc is located at 22341 W 8 Mile Rd, Detroit, MI 482191217.
What is Pediatric Staff Pllc's area of expertise and its corresponding taxonomy classification?
The Pediatric Staff Pllc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1922140912 to Pediatric Staff Pllc?
The Pediatric Staff Pllc received its 1922140912 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the Pediatric Staff Pllc's information last updated?
The Pediatric Staff Pllc's information was last updated on 2020-08-22.
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