Ketiwe H Msipha in Detroit - Technician, Other

Ketiwe H Msipha - NPI 1164516639

Ketiwe H Msipha is a Technician, Other in Detroit, Michigan. Ketiwe H Msipha practices all healthcare services and medical treatments related to Technician, Other. The NPI Number for Ketiwe H Msipha is 1164516639. The last update date is 2007-07-08.

Ketiwe H Msipha's current location address is 2051 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139613700 and fax number 3139613769. The mailing address for Ketiwe H Msipha is 2051 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Ketiwe H Msipha
Address 2051 W Grand Blvd, Detroit, Michigan
Phone Number 3139613700
Fax Number 3139613769
Sole Proprietor Y
Credentials SWT

NPI Number Detail

NPI Number 1164516639
Provider Enumeration Date 2006-10-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2051 W Grand Blvd
City Detroit
State Michigan (MI)
Post Code 482081105
Phone Number 3139613700
Fax Number 3139613769

Provider's Primary Taxonomy Detail

Speciality Technician, Other
Taxonomy 247200000X
Licence No 6802084028
Definition:
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6802084028 MI STATE LICENSE NUMBER

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FAQs about Ketiwe H Msipha

What is the unique 10-digit identification code assigned to Ketiwe H Msipha by the Centers for Medicare & Medicaid Services?

The Ketiwe H Msipha has been issued the NPI (National Provider Identifier) 1164516639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Ketiwe H Msipha?

The Ketiwe H Msipha is physically situated at 2051 W Grand Blvd, in the city of Detroit, state of MI, with the postal code 482081105.

What is the area of specialization for Ketiwe H Msipha, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ketiwe H Msipha is Technician, Other, and the corresponding taxonomy code that categorizes this area of expertise is 247200000X.

On what date did the Ketiwe H Msipha receive its 1164516639 assignment from the Centers for Medicare & Medicaid Services?

The Ketiwe H Msipha was assigned its 1164516639 by the Centers for Medicare & Medicaid Services on 2006-10-02.

As of what date were the details related to Ketiwe H Msipha most recently updated or revised?

The information pertaining to Ketiwe H Msipha, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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