Shores Rheumatology Pc in Saint Clair Shores - Rheumatology
Shores Rheumatology Pc - NPI 1497975510
Shores Rheumatology Pc is a Rheumatology in Saint Clair Shores, Michigan. Shores Rheumatology Pc practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Shores Rheumatology Pc is 1497975510. The last update date is 2023-12-01.
Shores Rheumatology Pc's current location address is 29200 Harper Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867777577 and fax number 5867776841. The mailing address for Shores Rheumatology Pc is 29200 Harper Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shores Rheumatology Pc |
|---|---|
| Address | 29200 Harper Ave, Saint Clair Shores, Michigan |
| Phone Number | 5867777577 |
| Fax Number | 5867776841 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sulich Andrew |
| Credentials | MD |
| Telephone Number | 5867777577 |
NPI Number Detail
| NPI Number | 1497975510 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2023-12-01 |
Provider Mailing Address Detail
| Address | 29200 Harper Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480811274 |
| Phone Number | 5867777577 |
| Fax Number | 5867776841 |
Provider's Primary Taxonomy Detail
| Speciality | Rheumatology |
|---|---|
| Taxonomy | 207Rr0500X |
| Licence No | AS048976 |
|
Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2594326 | MI | -- |
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What is the Shores Rheumatology Pc's unique identification number?
The Shores Rheumatology Pc has been assigned the NPI (National Provider Identifier) Number 1497975510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Shores Rheumatology Pc located?
The Shores Rheumatology Pc is located at 29200 Harper Ave, Saint Clair Shores, MI 480811274.
What is the area of specialization for Shores Rheumatology Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shores Rheumatology Pc is Rheumatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rr0500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497975510 to Shores Rheumatology Pc?
The Centers for Medicare & Medicaid Services originally issued the 1497975510 to Shores Rheumatology Pc on 2007-04-30.
When was the information regarding Shores Rheumatology Pc most recently updated?
The details pertaining to the Shores Rheumatology Pc, including its address, specialty, and other relevant information, were last refreshed on 2023-12-01.