Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr in Southfield - Clinic/center
Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr - NPI 1851583215
Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr is a Clinic/center in Southfield, Michigan. Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr is 1851583215. The last update date is 2007-08-21.
Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr's current location address is 17650 W 12 Mile Rd, Southfield, Michigan. You can contact this provider via phone number 3138719940. The mailing address for Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr is 17650 W 12 Mile Rd, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr |
|---|---|
| Address | 17650 W 12 Mile Rd, Southfield, Michigan |
| Phone Number | 3138719940 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Ross-Chatman Marie Martrilla |
| Credentials | RN |
| Telephone Number | 3138719940 |
NPI Number Detail
| NPI Number | 1851583215 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | 17650 W 12 Mile Rd |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480761911 |
| Phone Number | 3138719940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 4301039079 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1851583215 | MI | NPI | |
| 1891701884 | MI | NPI | |
| OM83260 | MI | MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr by the Centers for Medicare & Medicaid Services?
The Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr has been issued the NPI (National Provider Identifier) 1851583215. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr located?
The Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr is located at 17650 W 12 Mile Rd, Southfield, MI 480761911.
What is Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
On what date was the 1851583215 assigned to Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr?
The Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr was issued its 1851583215 on 2007-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr last refreshed?
The information related to the Tyrone Chatman Etal Ptr Martrilla Ross Gen Ptr, including its address, specialty, and other relevant details, was last updated on 2007-08-21.
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