Pedicare Pediatric Clinic Pc in Westland - Primary Care
Pedicare Pediatric Clinic Pc - NPI 1881700128
Pedicare Pediatric Clinic Pc is a Primary Care in Westland, Michigan. Pedicare Pediatric Clinic Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Pedicare Pediatric Clinic Pc is 1881700128. The last update date is 2008-07-14.
Pedicare Pediatric Clinic Pc's current location address is 35240 Nankin Blvd, Westland, Michigan. You can contact this provider via phone number 7344273636 and fax number 7344271483. The mailing address for Pedicare Pediatric Clinic Pc is 35240 Nankin Blvd, Westland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pedicare Pediatric Clinic Pc |
|---|---|
| Address | 35240 Nankin Blvd, Westland, Michigan |
| Phone Number | 7344273636 |
| Fax Number | 7344271483 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Turkish Jean Verna |
| Credentials | DO |
| Telephone Number | 7344274067 |
NPI Number Detail
| NPI Number | 1881700128 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2008-07-14 |
Provider Mailing Address Detail
| Address | 35240 Nankin Blvd |
|---|---|
| City | Westland |
| State | Michigan (MI) |
| Post Code | 481857218 |
| Phone Number | 7344273636 |
| Fax Number | 7344271483 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | VT 006757 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 383159597 | MI | FEDERAL TAX ID | |
| 3025602-11 | MI | -- | |
| VT 006757 | MI | LICENSE NO. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pedicare Pediatric Clinic Pc?
The Pedicare Pediatric Clinic Pc has been issued the NPI (National Provider Identifier) 1881700128 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Pedicare Pediatric Clinic Pc is geographically located?
The Pedicare Pediatric Clinic Pc is physically situated at the following location: 35240 Nankin Blvd, Westland, MI, 481857218.
What is Pedicare Pediatric Clinic Pc's area of expertise and its corresponding taxonomy classification?
The Pedicare Pediatric Clinic Pc's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did Pedicare Pediatric Clinic Pc receive its 1881700128 assignment from the Centers for Medicare & Medicaid Services?
The Pedicare Pediatric Clinic Pc was assigned its 1881700128 on 2006-08-21, 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 regarding Pedicare Pediatric Clinic Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pedicare Pediatric Clinic Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-14.