Northwest Neurology Pc in Southfield - Neurology

Northwest Neurology Pc - NPI 1467576132

Northwest Neurology Pc is a Neurology in Southfield, Michigan. Northwest Neurology Pc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Northwest Neurology Pc is 1467576132. The last update date is 2010-10-18.

Northwest Neurology Pc's current location address is 27200 Lahser Rd, Southfield, Michigan. You can contact this provider via phone number 2482089215 and fax number 2482089217. The mailing address for Northwest Neurology Pc is 27200 Lahser Rd, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Neurology Pc
Address 27200 Lahser Rd, Southfield, Michigan
Phone Number 2482089215
Fax Number 2482089217
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Jenkins C Tessy
Credentials MD
Telephone Number 2482089215

NPI Number Detail

NPI Number 1467576132
Provider Enumeration Date 2007-03-19
Last Updated Date 2010-10-18

Provider Mailing Address Detail

Address 27200 Lahser Rd
City Southfield
State Michigan (MI)
Post Code 480342137
Phone Number 2482089215
Fax Number 2482089217

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 4301058568
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4639614 MI --

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FAQs about Northwest Neurology Pc

What is the unique 10-digit identifier code assigned to Northwest Neurology Pc by the Centers for Medicare & Medicaid Services?

The Northwest Neurology Pc has been issued the NPI (National Provider Identifier) 1467576132 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Northwest Neurology Pc?

The Northwest Neurology Pc is physically situated at 27200 Lahser Rd, in the city of Southfield, state of MI, with the postal code 480342137.

What is Northwest Neurology Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Northwest Neurology Pc's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.

When did Northwest Neurology Pc receive its 1467576132 assignment?

The Northwest Neurology Pc was assigned its 1467576132 on 2007-03-19, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Northwest Neurology Pc most recently updated or revised?

The information pertaining to Northwest Neurology Pc, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-18.

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