Ageless Athletes in Southfield - Primary Podiatric Medicine
Ageless Athletes - NPI 1588780456
Ageless Athletes is a Primary Podiatric Medicine in Southfield, Michigan. Ageless Athletes practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Ageless Athletes is 1588780456. The last update date is 2008-02-15.
Ageless Athletes's current location address is Po Box 781, Southfield, Michigan. You can contact this provider via phone number 2485654024 and fax number 7755873115. The mailing address for Ageless Athletes is Po Box 781, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ageless Athletes |
|---|---|
| Address | Po Box 781, Southfield, Michigan |
| Phone Number | 2485654024 |
| Fax Number | 7755873115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Bradford-Henry Denise |
| Credentials | DPM |
| Telephone Number | 2485654024 |
NPI Number Detail
| NPI Number | 1588780456 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | Po Box 781 |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480370781 |
| Phone Number | 2485654024 |
| Fax Number | 7755873115 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 1148 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Ageless Athletes?
The Ageless Athletes has been issued the NPI (National Provider Identifier) 1588780456 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ageless Athletes's physical address?
The Ageless Athletes is physically located at Po Box 781, in the city of Southfield, MI, with the postal code 480370781.
What is the Ageless Athletes's specialty and taxonomy code?
The Ageless Athletes's specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.
When was the Ageless Athletes's 1588780456 issued?
The Ageless Athletes's 1588780456 was issued on 2007-03-22.
As of what date were the details related to Ageless Athletes most recently updated or revised?
The information pertaining to Ageless Athletes, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-15.
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