Edwin Black George in Troy - Clinical Neurophysiology

Edwin Black George - NPI 1255378774

Edwin Black George is a Clinical Neurophysiology in Troy, Michigan. Edwin Black George practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Edwin Black George is 1255378774. The last update date is 2016-08-03.

Edwin Black George's current location address is 1560 E Maple Rd, Troy, Michigan. You can contact this provider via phone number 3137454275 and fax number 3137454468. The mailing address for Edwin Black George is 1560 E Maple Rd, Troy, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin Black George
Address 1560 E Maple Rd, Troy, Michigan
Phone Number 3137454275
Fax Number 3137454468
Sole Proprietor N
Credentials MD PHD

NPI Number Detail

NPI Number 1255378774
Provider Enumeration Date 2006-06-01
Last Updated Date 2016-08-03

Provider Mailing Address Detail

Address 1560 E Maple Rd
City Troy
State Michigan (MI)
Post Code 480831138
Phone Number 3137454275
Fax Number 3137454468

Provider's Primary Taxonomy Detail

Speciality Clinical Neurophysiology
Taxonomy 2084N0600X
Licence No 4301068940
Definition:
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such

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FAQs about Edwin Black George

What is the unique identifier code issued to Edwin Black George by the Centers for Medicare & Medicaid Services (CMS)?

The Edwin Black George has been assigned the NPI (National Provider Identifier) 1255378774. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Edwin Black George is physically located?

The Edwin Black George is situated at the following address: 1560 E Maple Rd, Troy, MI 480831138.

What is the Edwin Black George's area of specialization and corresponding taxonomy classification?

The Edwin Black George's specialty field is Clinical Neurophysiology, and it falls under the taxonomy code 2084N0600X, which categorizes healthcare providers based on their specialties.

When did Edwin Black George receive its 1255378774 assignment?

The Edwin Black George was assigned its 1255378774 on 2006-06-01, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Edwin Black George last refreshed?

The information related to the Edwin Black George, including its address, specialty, and other relevant details, was last updated on 2016-08-03.

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