University Neurosurgical Associates Pc in Southfield - Orthotic Fitter
University Neurosurgical Associates Pc - NPI 1699761379
University Neurosurgical Associates Pc is a Orthotic Fitter in Southfield, Michigan. University Neurosurgical Associates Pc practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for University Neurosurgical Associates Pc is 1699761379. The last update date is 2019-09-10.
University Neurosurgical Associates Pc's current location address is 29275 Northwestern Hwy, Southfield, Michigan. You can contact this provider via phone number 8777843667 and fax number 2487843743. The mailing address for University Neurosurgical Associates Pc is 29275 Northwestern Hwy, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | University Neurosurgical Associates Pc |
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Address | 29275 Northwestern Hwy, Southfield, Michigan |
Phone Number | 8777843667 |
Fax Number | 2487843743 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Johnson R Robert |
Credentials | M.D. |
Telephone Number | 8777843667 |
NPI Number Detail
NPI Number | 1699761379 |
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Provider Enumeration Date | 2005-09-27 |
Last Updated Date | 2019-09-10 |
Provider Mailing Address Detail
Address | 29275 Northwestern Hwy |
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City | Southfield |
State | Michigan (MI) |
Post Code | 480341044 |
Phone Number | 8777843667 |
Fax Number | 2487843743 |
Provider's Primary Taxonomy Detail
Speciality | Orthotic Fitter |
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Taxonomy | 225000000X |
Definition: An individual trained in the management of fitting prefabricated orthoses. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
140F329410 | MI | BCBS | |
140F329410 | BCBS |
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What is the University Neurosurgical Associates Pc's 1699761379?
The University Neurosurgical Associates Pc's NPI (National Provider Identifier) Number is 1699761379. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the University Neurosurgical Associates Pc located?
The University Neurosurgical Associates Pc is located at 29275 Northwestern Hwy, Southfield, MI 480341044.
What is the University Neurosurgical Associates Pc's specialty and taxonomy code?
The University Neurosurgical Associates Pc's specialty is Orthotic Fitter, and the corresponding taxonomy code is 225000000X.
On what date did University Neurosurgical Associates Pc receive its 1699761379 assignment from the Centers for Medicare & Medicaid Services?
The University Neurosurgical Associates Pc was assigned its 1699761379 on 2005-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to University Neurosurgical Associates Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to University Neurosurgical Associates Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-09-10.