Southfield Rehabilitation Company in Warren - Sports Medicine
Southfield Rehabilitation Company - NPI 1619969540
Southfield Rehabilitation Company is a Sports Medicine in Warren, Michigan. Southfield Rehabilitation Company practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Southfield Rehabilitation Company is 1619969540. The last update date is 2023-02-17.
Southfield Rehabilitation Company's current location address is 11012 Thirteen Mile Road, Warren, Michigan. You can contact this provider via phone number 5867519800 and fax number 5867519818. The mailing address for Southfield Rehabilitation Company is 11012 Thirteen Mile Road, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southfield Rehabilitation Company |
|---|---|
| Address | 11012 Thirteen Mile Road, Warren, Michigan |
| Phone Number | 5867519800 |
| Fax Number | 5867519818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL ST |
|---|---|
| Authorized Official Name | Seley Ronda |
| Telephone Number | 2484235198 |
NPI Number Detail
| NPI Number | 1619969540 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2023-02-17 |
Provider Mailing Address Detail
| Address | 11012 Thirteen Mile Road |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480932546 |
| Phone Number | 5867519800 |
| Fax Number | 5867519818 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 506840 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29594 | MI | MIDWEST HEALTH PLAN | |
| 1031384 | MI | MCLAREN HEALTH PLAN | |
| 38230 | MI | HEALTH PLAN OF MICHIGAN | |
| 135598502 | MI | U.S. DEPARTMENT OF LABOR | |
| 4483448 | MI | AETNA | |
| 40003 | MI | BCBS OF MICHIGAN | |
| 40003 | MI | BCBS OF MI |
Post Comment/ Review Below
What is the Southfield Rehabilitation Company's 1619969540?
The Southfield Rehabilitation Company's NPI (National Provider Identifier) Number is 1619969540. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Southfield Rehabilitation Company's facilities are geographically located?
The facilities of Southfield Rehabilitation Company are physically situated at the following location: 11012 Thirteen Mile Road, Warren, MI, 480932546.
What is Southfield Rehabilitation Company's area of expertise and its corresponding taxonomy classification?
The Southfield Rehabilitation Company's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.
When did Southfield Rehabilitation Company receive its 1619969540 assignment?
The Southfield Rehabilitation Company was assigned its 1619969540 on 2005-08-17, which is the date when this unique identifier was issued to the organization.
When was the information regarding Southfield Rehabilitation Company most recently updated?
The details pertaining to the Southfield Rehabilitation Company, including its address, specialty, and other relevant information, were last refreshed on 2023-02-17.
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