Theodore William Shively in Novi - Family Medicine
Theodore William Shively - NPI 1780666461
Theodore William Shively is a Family Medicine in Novi, Michigan. Theodore William Shively practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Theodore William Shively is 1780666461. The last update date is 2011-12-13.
Theodore William Shively's current location address is 39555 W 10 Mile Rd, Novi, Michigan. You can contact this provider via phone number 2484267200. The mailing address for Theodore William Shively is 39555 W 10 Mile Rd, Novi, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore William Shively |
|---|---|
| Address | 39555 W 10 Mile Rd, Novi, Michigan |
| Phone Number | 2484267200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1780666461 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2011-12-13 |
Provider Mailing Address Detail
| Address | 39555 W 10 Mile Rd |
|---|---|
| City | Novi |
| State | Michigan (MI) |
| Post Code | 483752950 |
| Phone Number | 2484267200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101007588 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4233780 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Theodore William Shively by the Centers for Medicare & Medicaid Services?
The Theodore William Shively has been issued the NPI (National Provider Identifier) 1780666461. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Theodore William Shively is geographically located?
The Theodore William Shively is physically situated at the following location: 39555 W 10 Mile Rd, Novi, MI, 483752950.
What is the Theodore William Shively's specialty and taxonomy code?
The Theodore William Shively's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780666461 to Theodore William Shively?
The Theodore William Shively received its 1780666461 assignment from the Centers for Medicare & Medicaid Services on 2005-11-17.
As of what date was the information pertaining to Theodore William Shively, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theodore William Shively, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-13.
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