St Claire Shores Medical Pllc in Saint Clair Shores - Medical Specialty
St Claire Shores Medical Pllc - NPI 1316194640
St Claire Shores Medical Pllc is a Medical Specialty in Saint Clair Shores, Michigan. St Claire Shores Medical Pllc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for St Claire Shores Medical Pllc is 1316194640. The last update date is 2014-10-08.
St Claire Shores Medical Pllc's current location address is 30140 Harper Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5862931848 and fax number 5862931869. The mailing address for St Claire Shores Medical Pllc is 30140 Harper Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Claire Shores Medical Pllc |
|---|---|
| Address | 30140 Harper Ave, Saint Clair Shores, Michigan |
| Phone Number | 5862931848 |
| Fax Number | 5862931869 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Shelton W Bernard |
| Credentials | M.D. |
| Telephone Number | 5862931868 |
NPI Number Detail
| NPI Number | 1316194640 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2014-10-08 |
Provider Mailing Address Detail
| Address | 30140 Harper Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480821610 |
| Phone Number | 5862931848 |
| Fax Number | 5862931869 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 4301088798 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 502329 | MI | BCBS | |
| 1417032491 | MI | NPI | |
| 70-0-F32947-0 | MI | BCBS CPIN# | |
| 4945780-10 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to St Claire Shores Medical Pllc by the Centers for Medicare & Medicaid Services?
The St Claire Shores Medical Pllc has been issued the NPI (National Provider Identifier) 1316194640 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of St Claire Shores Medical Pllc?
The St Claire Shores Medical Pllc is physically situated at 30140 Harper Ave, in the city of Saint Clair Shores, state of MI, with the postal code 480821610.
What is St Claire Shores Medical Pllc's area of expertise and its corresponding taxonomy classification?
The St Claire Shores Medical Pllc's field of specialization is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1316194640 to St Claire Shores Medical Pllc?
The St Claire Shores Medical Pllc received its 1316194640 assignment from the Centers for Medicare & Medicaid Services on 2008-08-18.
When was the information pertaining to St Claire Shores Medical Pllc most recently updated or revised?
The details related to St Claire Shores Medical Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-08.
NPI Number: 1821091851
Address: 1638 Owen Dr, Fayetteville, NC
NPI Number: 1346243375
Address: 1 Robert Wood Johnson Pl, New Brunswick, NJ
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO
NPI Number: 1639172869
Address: Po Box 788, Fayetteville, NC
NPI Number: 1417950650
Address: 3333 N Webb Rd, Wichita, KS