Justin Elijah Trivax in Farmington Hills - Internal Medicine
Justin Elijah Trivax - NPI 1174566095
Justin Elijah Trivax is a Internal Medicine in Farmington Hills, Michigan. Justin Elijah Trivax practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Justin Elijah Trivax is 1174566095. The last update date is 2012-12-20.
Justin Elijah Trivax's current location address is 29992 Northwestern Hwy, Farmington Hills, Michigan. You can contact this provider via phone number 2488511430 and fax number 2488515182. The mailing address for Justin Elijah Trivax is 29992 Northwestern Hwy, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Elijah Trivax |
|---|---|
| Address | 29992 Northwestern Hwy, Farmington Hills, Michigan |
| Phone Number | 2488511430 |
| Fax Number | 2488515182 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174566095 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2012-12-20 |
Provider Mailing Address Detail
| Address | 29992 Northwestern Hwy |
|---|---|
| City | Farmington Hills |
| State | Michigan (MI) |
| Post Code | 483343292 |
| Phone Number | 2488511430 |
| Fax Number | 2488515182 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301081886 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1174566095 | MI | -- | |
| 700H273300 | MI | BLUE SHIELD |
Post Comment/ Review Below
What is the Justin Elijah Trivax's unique identification number?
The Justin Elijah Trivax has been assigned the NPI (National Provider Identifier) Number 1174566095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Justin Elijah Trivax is located?
The Justin Elijah Trivax is situated at the following address: 29992 Northwestern Hwy, Farmington Hills, MI, 483343292.
What is the Justin Elijah Trivax's area of specialization and corresponding taxonomy classification?
The Justin Elijah Trivax's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1174566095 assigned to Justin Elijah Trivax?
The Justin Elijah Trivax was issued its 1174566095 on 2006-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Justin Elijah Trivax most recently updated or revised?
The details related to Justin Elijah Trivax, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-20.