Pediatric Care Corner Pc in Detroit - Adolescent Medicine
Pediatric Care Corner Pc - NPI 1508864687
Pediatric Care Corner Pc is a Adolescent Medicine in Detroit, Michigan. Pediatric Care Corner Pc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatric Care Corner Pc is 1508864687. The last update date is 2007-10-16.
Pediatric Care Corner Pc's current location address is Po Box 33321, Detroit, Michigan. You can contact this provider via phone number 2489261411 and fax number 2489265338. The mailing address for Pediatric Care Corner Pc is Po Box 33321, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Care Corner Pc |
|---|---|
| Address | Po Box 33321, Detroit, Michigan |
| Phone Number | 2489261411 |
| Fax Number | 2489265338 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Rowley Constance |
| Credentials | DO |
| Telephone Number | 2489261411 |
NPI Number Detail
| NPI Number | 1508864687 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | Po Box 33321 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482325321 |
| Phone Number | 2489261411 |
| Fax Number | 2489265338 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | CR010295 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350F375630 | MI | BCBC BCN |
Post Comment/ Review Below
What is the unique identification code assigned to Pediatric Care Corner Pc by the Centers for Medicare & Medicaid Services?
The Pediatric Care Corner Pc has been issued the NPI (National Provider Identifier) 1508864687. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pediatric Care Corner Pc's facilities are geographically located?
The facilities of Pediatric Care Corner Pc are physically situated at the following location: Po Box 33321, Detroit, MI, 482325321.
What is the area of specialization for Pediatric Care Corner Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatric Care Corner Pc is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
When did the Pediatric Care Corner Pc receive its 1508864687?
The Pediatric Care Corner Pc was issued its 1508864687 on 2005-07-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Pediatric Care Corner Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pediatric Care Corner Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-16.